Serpent Autosport
FAX Order Form
Fax your order to us!
First, call or e-mail us to verify stock on your order. We will only
ship what is in stock.
Then print out this form, fill it in, and fax this form to us to initiate
your order. Our fax number is at the end of this document.
Of course you can still phone in your order to (818)
848-3681.
Thank you for your assistance.
#1
Tell us about yourself.
Your full name, as it appears on your check:
_____________________________________________________
The address that you want us to ship to:
_____________________________________________________
_____________________________________________________
_____________________________________________________
Zip or Postal Code:
_____________________________________________________
We can not accept Post Office Boxes for shipping addresses!
Sorry.
Your daytime telephone number: ___________________________________
Your fax number (not required): ___________________________________
Your e-mail address: ___________________________________
(We don't send spam. This is just to notify you when
your order has been shipped and give you the tracking number.)
#2
How would you like to pay for your order?
Methods of Payment accepted:
Paypal
Our Paypal account is charliedimarco@aol.com
Checks & Money Orders
If paying by check, please write your check number here _________. We will
hold your order for 10 days until we receive your check. If your check is
not received in 10 days, the items that your ordered will be returned to
stock. All checks received must clear prior to shipment. This
could take from 10 to 15 days.
#3
How would you like your order shipped?
Call for shipping costs (818) 848-3681
Sign here to accept responsibility for Priority Mail Service:
_________________________________
#4
O.k. Now the easy part: What can we get for you?
Item number-----------Brief description--------------------------Unit
price------Total
__________
_____________________________
________ ___________
__________
_____________________________
________ ___________
__________
_____________________________
________ ___________
__________
_____________________________
________ ___________
__________
_____________________________
________ ___________
__________
_____________________________
________ ___________
__________
_____________________________
________ ___________
-------------------------------------------------------------------------
subtotal ___________
------------------ Los Angeles County California residents please add 8.25%
tax ___________
------------------ California residents out of L.A. County please add 7.%
tax ___________
-------------------------------------------------- Estimated shipping
charges *+ ___________
---------------------------------------------------------------- Your order
total ___________
Questions or Comments?
If you have questions or comments regarding your order, please write them
here:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Thank you for your order.
Now that you have filled out the form, fax it to our fax machine which
is on 24 hours a day, 7 days a week.
USA and Canada -- 1 (818) 848-3681
We will e-mail or fax you when we get your fax.
In case you need it, here's our address:
Serpent Autosport
1123 N. Cordova St.
Burbank, CA 91505
And our telephone number: (818) 848-3681
Thank you for your order.
Web pages & photographs created by and ©® Tim Werner
and Advantage Athletics et.al. 2002 All rights reserved