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Send Order To: |
| Phone toll free: 1-800-457-8223 | Clester's Auto Rubber Seals, Inc. |
| FAX: 704-636-7390 | P.O. Box 1113 |
| PHONE: 704-637-9979 | Salisbury, NC 28144-1113 |
| Date:___________________________ |
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| SOLD TO: | SHIP TO (if different) |
| Name: | Name: |
| Address: | Address: |
| City, State, Zip: | City, State, Zip: |
| Daytime Phone: | Daytime Phone: |
| Year | Make of Car/Truck | Model | Body Style (Coupe,Etc.) |
| QTY. | PART # | PART DESCRIPTION | UNIT PRICE | TOTAL | ||||||
| Shipping Charges--6% of subtotal plus $6.50 for UPS Ground Service. Air shipments available--call for cost. All shipments too large to ship UPS will be shipped common carrier FREIGHT COLLECT. | Subtotal: | |||||||||
| Add 4% for Packaging | ||||||||||
| ORDERS OUTSIDE U.S.--PLEASE CALL FOR PRICE ON SHIPPING | Shipping: | |||||||||
| Check one: |
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Check or Money Order |
N.C. Residents add 7% of Subtotal: | |||
| Credit Card Information | ||||||||||
| Card #:___________________________________ | Total: | |||||||||
| Signature:__________________________________
Exp. Date:________________ |
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Thank you for Your Order!
