ORDER BLANK

                FOR MAIL-IN ORDERS (PRINT OUT AND MAIL IN)

NAME: ____________________________________________________________________ CAR MAKE:____________________ YEAR: _____________

ADDRESS: _________________________________________________________________ ENG TYPE: _________________________________________

CITY: _______________________________________ STATE: _______ ZIP: __________ _________________________________________

HOME PHONE: (______) _________________ WORK PHONE: (______) ___________________

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QUANTITY                                    DESCRIPTION OF ITEM                                                                     COST/EA         TOTAL             SHIP & HAND       

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IF YOUR PARTS TOTAL IS LESS THAN $20.00, THE TOTAL WILL BE BROUGHT UP TO $20.00.  SUB TOTAL: $___________      S&H ----------------

MINIMUM SHOP ORDER IS $60.00                                                                                                 FINAL TOTAL: $_____________________________

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CHECK PREFERRED SHIPPING METHOD: BEST WAY: ______  UPS__________ PARCEL POST ________ BY TRUCK: ______

NEXT DAY AIR ______     2-DAY AIR: ______    OTHER: ______________________________________________________________

CHECK PAYMENT METH0D: MONEY ORDER: ______    C.O.D. ________  CERTIFIED CHECK ___________

PERSONAL CHECK (MUST WAIT UNTIL CHECK CLEARS) _________    BANKCARD  (FILL IN FORM BELOW) ________                                 PAECO Home

 

 

PAECO will accept VISA, MasterCard, and Discover bankcards (‘Sorry, no American Express) for mail orders or telephone orders. If you want to mail in an order and charge it on your bank card, we will need the information shown below for the particular card that you are using. We will also need both your home and workplace telephone numbers.

If you want to make a telephone order, you can simply give us this information over the telephone.

Using bank cards is a handy convenience for small orders, and is a real budget-stretcher when a large purchase is made that can be spread out over several months. It is extremely handy for telephone orders of special order items that must be paid for in advance. We must have the name and address of the cardholder if it is different from your own.

HOME PH: (______) _____________________ WORKPLACE PH: (______) ______________________

YOUR SIGNATURE: ________________________________________________

 

 

 

YOUR CARD #:__ __ __ __    __ __ __ __    __ __ __ __    __ __ __ __

EXPIRATION DATE: _________________