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Then complete and fax or mail it to us.
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Name |
________________________ |
Am. Speed Engine |
________________________ |
|
Street address |
________________________ |
Cubic Inch |
________________________ |
|
Address (cont.) |
________________________ |
Horsepower |
________________________ |
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City |
________________________ |
Eng. Paint Color |
________________________ |
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State/Province |
________________________ |
Type of Vehicle |
________________________ |
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Zip code |
________________________ |
Year |
________________________ |
|
Work Phone |
________________________ |
Transmission |
________________________ |
|
Home Phone |
________________________ |
Rear end ratio |
________________________ |
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FAX |
________________________ |
Converter size |
________________________ |
| |
|
Base price |
$____________________ |
|
Optional Equipment |
|
| |
$ |
| |
$ |
|
|
$ |
| |
$ |
| |
$ |
| |
$ |
| |
$ |
| |
$ |
| |
$ |
| |
$ |
| |
$ |
| |
$ |
| |
$ |
| |
$ |
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Turnkey
Option |
$ |
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Total |
$ |
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Sales Tax
(IL) |
$ |
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50% deposit |
$ |
|
Crating &
Handling ($75.00) |
$ |
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Overseas
($85.00) |
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Balance |
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All orders require a 50% deposit.
Personal checks require 2 weeks to clear. All secured
orders are non-cancellable and
non-refundable after 7 days. Remitting of a security deposit
is with the understanding that
customer accepts our terms and warranty.
A 4% sur charge will be added to all credit card orders.
Method of Payment: __ Personal
Check __ Money Order __ Cashiers Check
__Visa __MasterCard
__Discover
Card # _____________________
Exp. Date: ________
Name on Card:
_________________________________
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