.TS Imported Automotive
108 S. Jefferson St.
Pandora, OH, 45877 USA

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Address:

Apt/Suite #

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Home Telephone:

Ship To A Different Address

(to have this order to your officeor to a friend, relative, etc.)

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Description	Qty.	Item Number	Price Each		Total Price
Merchandise Total
COD Fee-$9.00
Insurance: Packages sent UPS are automatically covered for $100. Additional coverage is $1 for each $100.
Subtotal
Ohio Residents: Add sales tax at the tax rate of your county
Order Total

 

METHOD OF PAYMENT
NO cash, stamps,or COD's. We cannot be resposible for cash sent through the mail.
	Check or Money order enclosed payable to TS Imported Automotive.
	Mastercard (16 numbers)										Visa (13 or16 numbers)									Discover (16 numbers)
																Exp Date
1	2	3	4	5	6	7	8	9	10	11	12	13	14	15	16
Three digit PIN number on back of card -
Signature and Date:
Print Name As It Appears On the Card:
INFO: "Products are shipped by ground UPS or Priority Mail unless another form of shipping, overnight,3rd day air, etc., is requested. Large items will be shipped freight collect via truck. Shipping charges will be added to the total of the bill."