Design Concepts, 1-800-237-8988

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Mail or fax the form to:

Designs Concepts
P.O. Box 309
Norma, NJ 08347
FAX # (856) 896-1502

From What Source of Advertising Did You Learn About Design Concepts?
please check one:
5.0 Mustang and Super Fords magazine
Muscle Mustangs and Fast Fords magazine
Design Concepts brochure
Internet Search
Design Concepts web site
Other (please indicate):

Items:
Please list item #, item name, quantity and price for each item you're ordering.

You Pay
Truck Freight
Charges
On Delivery

NJ Residents Add 7% Sales Tax

Total Price of Items, UPS Charges and Sales Tax (if applicable):

Click your web browser's PRINT BUTTON to print this form.
Mail or fax the form to:

Designs Concepts
P.O. Box 309
Norma, NJ 08347

FAX # (856) 896-1502

Customer Service - 1-800-237-8988.
Business Hours: 9:00am - 6:00pm EST Monday through Friday
The sales office is CLOSED Saturday and Sunday.

Click your web browser's PRINT BUTTON to print this form. Mail or fax the form to: Designs Concepts P.O. Box 309 Norma, NJ 08347 FAX # (856) 896-1502
Billing and Shipping Information: If you're placing an order using a credit card, please list your name exactly as it appears on your credit card, and your address and phone number exactly as your credit card company has it listed in their records. If the name, address and phone number do not match the information your credit card company has in their records, we can not ship your order.
Name:
Address:
City:
State:
Zip Code:
Daytime Phone #:
Fax #:
E-mail Address:
Payment Information: All orders must be prepaid by credit card, check or money order. Sorry, no C.O.D. orders. We accept the following credit cards: VISA, MasterCard, American Express and Discover.
Credit Card #:
CCV #:	The CCV# is the credit card verification number. For MasterCard, VISA and Discover cards, this 7 digit number is located on the back of the credit card. For American Express cards, this 4 digit number is located on the front of the card, above the credit card number.
Expiration Date:
Your name as it appears on the credit card:
Vehicle Information:
Year:
Make:
Model: (GT or LX or Cobra)
Body Type: (Coupe or Convertible or Hatchback)
From What Source of Advertising Did You Learn About Design Concepts? *please check one:* 5.0 Mustang and Super Fords magazine Muscle Mustangs and Fast Fords magazine Design Concepts brochure Internet Search Design Concepts web site Other (please indicate): Items: Please list item #, item name, quantity and price for each item you're ordering.
Item #	Item Name	Qty.	Price






UPS Shipping Charges: Wings and some ground effects are shipped by UPS. UPS Charges are prepaid with your order. Add the UPS Charges that apply to each UPS item and enter total amount here:
Truck Freight Charges: Hoods and items too large to ship by UPS are shipped by Truck Freight. You pay truck freight charges to the trucking company on delivery.			You Pay Truck Freight Charges On Delivery
NJ Residents Add 7% Sales Tax
Total Price of Items, UPS Charges and Sales Tax (if applicable):
Click your web browser's PRINT BUTTON to print this form. Mail or fax the form to: Designs Concepts P.O. Box 309 Norma, NJ 08347 FAX # (856) 896-1502 Customer Service - 1-800-237-8988. Business Hours: 9:00am - 6:00pm EST Monday through Friday The sales office is CLOSED Saturday and Sunday.