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ORDER DATE

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
COMPANY NAME
BILLING ADDRESS
CITY
                                                                                        STATE                                                                                      ZIP
PHONE
                                                                                        FAX                                                                                          EMAIL

SHIPPING INFORMATION
COMPANY NAME
BILLING ADDRESS
CITY
                                                                                        STATE                                                                                      ZIP
PHONE
                                                                                        FAX                                                                                          EMAIL

PART #
DESCRIPTION
UNIT PRICE
QTY
EXTENSION
SUBTOTAL
$8.99 SHIPPING CHARGES FOR UPSABLE ORDERS UNDER $200.00
S & H
NM CUSTOMERS ONLY ADD 6.825%
TAX
TOTAL

CREDIT CARD INFORMATION
NAME ON CARD
CARD NUMBER
EXP. DATE
CSV # (LAST THREE DIGITS ON THE BACK OF THE CARD)

SIGNATURE_________________________________________________________BUYERS NAME_________________________________________________________