ORDER FORM

  

Print this form, then:
Mail (for orders paid by check)
Fax or Mail (for credit card orders)
     
 QUAN.   DESCRIPTION    PRICE   SHIPPING & HANDLING    ITEM TOTAL
    Garmin StreetPilot 2620            
    Complete GPS Navigation System   Call 1-888-290-5583 for best pricing
    Landing Strips            
_______   Set of two single tire strips   $14.95/set   $6.50
(CA,WA,OR,AZ,NV,UT: $8.50) 		  ____________
_______   Set of four single tire strips   $24.95/ set   $8.50
(CA,WA,OR,AZ,NV,UT: $10.50)		   ____________
_______   Set of two single, two dual tire strips   $34.95/ set   $10.50
(CA,WA,OR,AZ,NV,UT: $12.50)		   ____________
    Cheeper Creeper            
_______   Under-vehicle service surface   $19.95   $8.50
(CA,WA,OR,AZ,NV,UT: $10.50)		   ____________

    Oil Change Wonder            
_______   Part Number (Small) ____________   $39.50   $5.00
(CA,WA,OR,AZ,NV,UT: $7.00) 		  ____________
_______   Part Number (Large) ____________   $45.00   $5.00
(CA,WA,OR,AZ,NV,UT: $7.00) 		  ____________
    (See charts for Big Rigs, Cars/Trucks, Bikes)            
    Charts are guides only. Please call for fitting.            

            SUBTOTAL:   ____________
            MN residents add 6.5% Sales Tax   ____________
            TOTAL:   ____________

 

Home (Billing) Address
Street Address Required for FedEx Delivery

   Shipping Address
(if different from billing address):
Name Name
Street Street
City, ST, Zip City, ST, Zip
Phone Phone
  Required for credit card orders (only for order questions)    
  Credit Card Sales:    
VISA/MC # Signature
Exp. Date Date
CCV ___________   (The extra number on the back)