TOYSPORT ORDER FORM

  PLEASE PRINT AND THEN FAX TO (323) 755-1176 

 OR MAIL TO: 1547 W EL SEGUNDO BLVD, GARDENA CA 90249

  TEL #

  FAX #

  E-MAIL

  SHIP TO:   (must be the same as credit card billing address).        NOTE:   UPS cannot ship to P.O. Box addresses.

  NAME

  STREET

  UNIT 

  CITY

  STATE 

  ZIP 

PLEASE NOTE ALL ORDERS PAID BY CHECK WILL REQUIRE A 14 DAY CLEARING PERIOD.

  CREDIT CARD INFORMATION

  VEHICLE INFORMATION

  ISSUING BANK

  VIN #

  CREDIT CARD #

  MAKE

  EXPIRATION          MONTH  _________  YEAR  _________

  YEAR / MODEL

  CUSTOMER 24-HR #

  SERIES / BODY TYPE 

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QTY. / DESCRIPTION

UNIT $

EXTENDED $

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  OTHER SHIPPING AND HANDLING INSTRUCTIONS:

  SUB TOTAL

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  HANDLING

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  SHIPPING

   TAX *

*  CALIFORNIA RESIDENTS OR SHIPMENTS MUST ADD 8.25% SALES TAX.

  TOTAL       

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  FOR SPORTS PARTS ORDERS:   I HAVE READ & ACCEPT THE TERMS & CONDITIONS FOR THIS ORDER AND SALE.

  FOR CREDIT CARD ORDERS:     I AGREE TO PAY THE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT.

   CARDHOLDER SIGNATURE   ________________________________________            DATE    __________________

        ORDERS CANNOT BE SHIPPED WITHOUT THIS SIGNED FORM.              SHIPPING CHARGES WILL BE ADDED.

THANK YOU FOR YOUR ORDER.