Parts Order Form
 

This form is intended for use by our customers who already have a our catalog. Simply fill out the form and send it off, Your order will be on the way.

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Quantity Part Number Description Price Total
         
      SubTotal
      IL residents 7.25% Tax
      Shipping
      Total Order
  Shipping charges as follows:

  • 0-$10.00 + $6.00

  • $10.01-$20.00 + $7.00

  • $20.01-$30.00 + $7.50

  • $30.01-$40.00 + $8.00

  • $40.01-$50.00 + $10.00

  • Over $50.00 add $8.00 plus 10% of amount over $50

  

Please Enter your Billing Information. We only Ship to your billing address, no exceptions.

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Name

Day Time Phone

Address

City State Zip

Email Address

Credit Card Number

Credit Card Expiration Date

Card Type

You will be emailed should we be out of stock on your order. All Backorders ship in less than 10 days, otherwise orders are processed and shipped within 42 hours.

 

 

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