Pacific Hot
Rods Order Form
We have found it
is actually easier if you shop online, adding your desired items to your
Shopping Cart. When you are ready, finalize the order, filling in all your
information, and choose payment by either Check or Money Order. Print our the
order, then print out this form, fill it the payment information, and fax it to
us with your order from the Shopping Cart.
Order
Information
| Qty: |
Part No: |
Description: |
Size: |
Color: |
Option: |
Unit Price: |
Total: |
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Shipping &
Billing Information
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If paying by
Credit Card - Billing Address Info
(info must match
your Credit Card Statement exactly or we won’t be able to process your
order) |
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Name: |
Name: |
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Address: |
Address: |
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City: State/Prov: |
City: State/Prov: |
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Zip
Code: Phone: |
Zip
Code: Phone: |
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Credit Card |
ÿ
VISA
ÿ
Mastercard |
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Card Holder Name (as
on card): |
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Card Number: |
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Expiry Date: |
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Sec Code:
(last 4 digits on back
of card) |
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Signature & Date: |
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All items
can be returned for refund within 30 days of receipt (return shipping
costs are not refundable).
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-
Currently our Credit Card Charges are processed in US Funds, which may
cause a slight discrepancy in your total depending on the exchange rate.
Charges on your credit card statement will read as Tracy Noble.
- If paying by Check or Money Order please
make it payable to Tracy Noble.
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Standard Delivery time
is 2 weeks. Some items are Special Order Items and may take longer.
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Pacific Hot Rods 20153 - 82Ave Langley, BC
V2Y2A8 Phone:(604) 888-9299 Fax:(604) 888-9279
WWW.PACIFICHOTRODS.COM |