"ORDER FORM FOR MGB-GT GAS STRUTS."

NAME:______________________________________________________________

ADDRESS:___________________________________________________________

____________________________________________________________________

TOWN:______________________________________________________________

STATE:______________________________________________________________

ZIP/POSTCODE:______________________________________________________

TEL/FAX #__________________________________________

E-MAIL:____________________________________________

YEAR OF CAR:____________ 

GT Hatchback SET #______X $72.OO = $_____________

S&H, @ $7.00 PER ORDER $_____________

S&H TO UK @ $25.00 PER ORDER. $____________

TOTAL = $_____________

PAYMENT: CK________ CERTIFIED CK________ PO______ #____________



S&H ON UK ORDERS WILL BE $25.00 SENT RECORDED DELIVERY,
AIR MAIL ,US POSTAL SERVICE.
FOR OTHER COUNTRIES PLEASE CALL OR E-MAIL.
ANY QUIRIES PLEASE CALL OR FAX BETWEEN 0600 AND 2200 EASTERN STANDARD TIME.
THAT IS BETWEEN 1100 AND 0300 GMT FOR UK RESIDENTS.

E-MAIL ANYTIME: [email protected]

TEL: 941-637-4843

.

PRINT THIS FORM OUT COMPLETE AND SEND ALONG WITH PAYMENT TO:

IAN PENDER
740 Pamela Drive
Punta Gorda, FL
33950 USA


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