The Guild of Automotive Restorers So-Cal Parts Order Form

NAME:________________________________________________________

Billing Address:__________________________________________________

______________________________________________________________

Home Phone:____________________    WorkPhone:_____________________

Email Address:_________________________________________________

CREDIT CARD:             VISA            AMEX             M/C              (circle one)

CARD NUMBER________________________________________  exp________

NAME ON CARD_______________________________________________

SIGNATURE:___________________________________________________

Additional items can be included on a separate paper.  Please fax to 905-775-0944.  A 50% deposit will be charged to your credit card.  Orders that are not picked up or are returned are subject to a 25% fee.  When your order comes in, you will be called to pick it up.  Shipping arrangements can be made at an additional cost to have your order delivered to you, please note on order.  All prices are in Canadian funds.