PRINT PAGE AND
FAX TO 1-775-263-0626
CAR TOOLS ORDER FORM | home
ORDER DATE
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Fax Order Form
Car-Tools-Online.com
308 Altez NE
Albuquerque, NM 87123
1-877-628-3344 Tollfree Sales Line 1-775-263-0626 Fax Line
BILLING INFORMATION
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COMPANY NAME
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BILLING ADDRESS
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CITY
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STATE ZIP
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PHONE
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FAX EMAIL
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SHIPPING INFORMATION
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COMPANY NAME
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BILLING ADDRESS
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CITY
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STATE ZIP
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PHONE
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FAX EMAIL
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PART #
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DESCRIPTION
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UNIT PRICE
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QTY
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EXTENSION
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SUBTOTAL
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$8.99 SHIPPING CHARGES FOR UPSABLE ORDERS UNDER $200.00
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S & H
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NM CUSTOMERS ONLY ADD 6.825%
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TAX
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TOTAL
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CREDIT CARD INFORMATION
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NAME ON CARD
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CARD NUMBER
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EXP. DATE
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CSV # (LAST THREE DIGITS ON THE BACK OF THE CARD)
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SIGNATURE_________________________________________________________BUYERS NAME_________________________________________________________