Kustom Kemp Accessories & Old Time Hot Rod Parts 417/682-3685
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Please print order form and either Mail or Fax it to us. You may also email it to us, but Email Will NOT Be Secure. We have this form setup to accept through email. You may also Call your order in. Thank You!
Date Name Shipping Address City/State/Zip Phone: Fax Email Automobile Information:
Catalog Only $3, Free With Order Qty Description Price Qty Description Price Qty Description Price Qty Description Price Qty Description Price Qty Description Price Qty Description Price Qty Description Price Prices subject to change without notice Merchandise Total Sales Tax Missouri 6.5% If prepaid add 15% of Total for shipping Lakepipes & Skirts Add 20% (Excess Refunded) Shipping (Missouri Residents Only) 6.5% Sales Tax Total U.P.S. C.O.D. COD Fee $8.50 MasterCard Visa Discover Card American Express Card Holder Name Credit Card Number Exp Mail Orders can be Money Order, Cashier Check, Or Personal Check or Credit Card. Please Don't Send Cash. Thank You For Your Order! Please note: Although it is most unlikely that you will experience any problems responding to this form, certain non-standard browsers will not respond properly. If you experience any difficulties, (or if you are not using a forms-capable browser) you may email your response to this form to: info@thenightprowlers.com
*Note- This is a non secure server, to pay by credit cards fill out then print out and mail or fax to address or fax below. If you have trouble, email us you phone number and a good time to call you back and we will take your info over the phone! Thanks, Gary Glasgow
Mailing Address: Night Prowlers - PO Box 377 - Lamar, MO 64759 PH: 417-682-3685 FAX: 417-682-6770 Email: sales@thenightprowlers.com
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