Camaro Online Catalog Page 291 Order Forms

Chevrolet Parts, Inc. Classic Qty Part Number Description Ea. Price Total Price Example BK-000 Shop Manual $0.00 Manufacturer & Supplier Of Quality Auto Parts Subtotal Shipping Insurance Oklahoma Sales Tax 8.375% Order Total Order Toll Free (800) 354-4040 24 Hour Fax Ordering (405) 631-5999 Parts Desk (405) 631-4400 Website: Monday - Friday 8am to 5pm Saturday 8am to 12 noon EFFECTIVE APRIL 2016 Sold To: Name: ______________________________________________ Address: ____________________________________________ City: __________________________________ State ______ Zip Code: _________________ Phone: ________________ Email: __________ ____________________________________ Vehicle Year And Model _________________________________ Please print clearly and fill out all information completely. We must have a valid street address for accurate delivery. All orders will be shipped Federal Express regular ground unless you specify otherwise. Please call us about other shipping options. Oversized and over weight items will be shipped Motor Freight. Method Of Payment - Please Indicate Please refer to the back side of this order form for shipping charges and additional information. Minimum shipping charge is $12.99. Oklahoma residents please add 8.375% sales tax. Classic Chevrolet Parts, Inc. 8723 South Interstate 35 Oklahoma City, OK 73149 Personal Check Cashier's Check Money Order Visa MasterCard Discover Name: ______________________________________________ Address: ____________________________________________ City: __________________________________ State ______ Zip Code: _________________ Phone: ________________ If paying by credit or debit card, please fill out the following information Your signature above authorizes Obsolete & Classic Auto Parts, Inc. to charge your card the amount of your order total. Signature _____________________________________________ Ship To: (if different than above) Cardholder's Name: ____________________________________ Card Number: _______________________________________ Expiration Date: _______________ CSV Code: ___________ 3 Digit Number On Back Of Card Exactly As It Appears On The Front Of The Card Next Day Air, Second Day Air, And Third Day Select Shipping Available Please Call For Details

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