Order Form
Phone: 440-878-0904
FAX:  216-263-8368
Date:___________________
Name
Address
Address
City
State                    Zip code   
Phone:     
Name
Address
Address
City
State                    Zip code   
Phone:  
QTY
 ITEM DESCRIPTION
 SIZE
 COLOR
 LOGO #
 YEAR
 UNIT
PRICE
 TOTAL
PRICE
               
               
               
               
               
               
               
     
                                                                                                                             Sub Total
                      
Please allow 14 days for delivery                                                                                                 
  *Enter Discount Code here_______________                                *Apply Discount      
                                                                                                                   
                                                                                          (Ohio Residents only 7.75%)Sales Tax
                                                                                                                                                             
                                                                                                                                                              
                                                                                                                                            Shipping   
    Shipping charges are based on the subtotal, UPS Ground                                                      
                                                                   
See our website for terms, guarantee and return policy                                                             
                                                                                                                                                    Total
  
 
 
 
 
Under $20.00
 $7.00
$20.01-$40.00
 $9.00
$40.01- $60.00
 $11.00
$60.01-$80.00
 $13.00
$80.01-$100.00
 $14.00
$100.01 +
 $15.00
Make  money order payable to Classic Auto Gear. No personal checks.    
We  accept Visa, MasterCard, Discover and American Express
Card No:
 Exp. Date
Signature
 Security Code
Mail form to:
Classic Auto Gear
11053 Prospect Rd
Strongsville, Ohio  44149
Shipping Charges
US and Canada Orders Only
Billing Information(Must match credit card)
Shipping Information*
Only complete if different than Billing Information.
Thank You for your order
Billing information on card must be identical to Billing
Information on the order.