Chevrolet Monte Carlo 1971 Spezifikationen Seite 201

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ORDER FORM
Date:
60A Progress Drive · Manchester, CT 06042
www.dixierestorationdepot.com · 1-877-243-4943
Customer Number:
Bill To Ship To
Name:
Name:
C/O:
C/O:
Address:
Address:
City:
City:
State:
Postal Code:
State:
Postal Code:
Daytime Phone:
Daytime Phone:
Email:
Payment Type:
Money Order Car Info: Year:
Check (Please allow extra time for delivery.)
Model:
SS
Credit Card
Card Number:
Coupe 2 door
Expiration Date:
Hardtop 4 door
Cardholder's Signature:
T-top Wagon
Foreign orders please include:
Issuing Bank Name:
Exterior color:
Bank Phone #:
Interior color:
For your protection, we thoroughly investigate the validity of all credit card orders.
Part # Description Unit Price Quantity Line Price
Subtotal:
Toll Free Order Desk: 1-877-243-4943
Customer Service: 1-860-645-1917
U.S. Toll Free Fax: 1-800-882-5769
International Fax: 1-860-645-1845
In CT Add 6.35% Sales
Tax:
Shipping:
If COD, Add: $11.00
TOTAL:
P
lease view the "Terms and Conditions" on reverse for detailed information on placing your order. Oversize items ship via truck
freight and require extra shipping charge. Please call or visit our website to get the actual shipping charge for your order.
www.dixierestorationdepot.com
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