This order form is a FAX 435-687-9239 or snail mail your order to us

Today's Date:                    

Year & Body Style of Car:

Your Name:
UPS ship to/Del. address
AC & Phone#
PRINT Your EMAIL address:
Card Billing Name:
Card Billing Address:
Card City/State/Zip:
Card AC & Phone:

We accept Visa, MasterCard, Discover. Place the 16 numbers below & Expiration date. 


Please sign your name here:________________________________________V-Code______

Name of Part

Item #  

Price of Part







    MADE IN THE USA~Total Amount Due USA FUNDS ONLY  $  

We pay UPS ground on FULL WOOD KITS in the 48 states. You pay for UPS for individual items.

Utah residents must pay 6.35% sales tax