TOYSPORT ORDER FORM

PLEASE PRINT 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 BILLING ADDRESS. NO P.O. BOX DELIVERY)

NAME

STREET

UNIT 

CITY

STATE 

ZIP 

PLEASE NOTE ALL CHECK ORDERS REQUIRE A 10 DAY CLEARING PROCESS.

CREDIT CARD INFORMATION

VEHICLE INFORMATION

ISSUING BANK

MAKE

CREDIT CARD #

MODEL

EXPIRATION  MONTH_________  YEAR_________

YEAR

CUSTOMER 24-HR #

ENGINE

QTY

DESCRIPTION

UNIT $

EXTENDED $

SHIPPING INSTRUCTIONS:

( ) FEDEX  ( ) UPS GROUND  ( ) UPS 3-DAY  ( ) TRUCK

  ( ) UPS NEXT DAY  ( ) US POST  ( ) WILL CALL

SUB TOTAL

HANDLING

SHIPPING

YOUR SHIPPING ACCOUNT # 

TAX

OTHER INSTRUCTIONS: 

GRAND TOTAL_________________

THANK YOU FOR YOUR ORDER.   ORDER SHIP DATE 

I HAVE READ AND ACCEPT THE TERM SAND CONDITIONS FOR THIS ORDER AND SALE.

I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT.

SIGNED X_______________________________________________________DATE 

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