Buick Parts Catalog

CREDIT CARD BILLINGADDRESS SHIPPING ADDRESS (if different)

COMPANY __ COMPANY__

NAME _____ NAME ____

ADDRESS __ ADDRESS _____

CITY__ STATE _ ZIP ____ CITY__ STATE _ ZIP ___

DAYTIME TELEPHONE __ EVENING TELEPHONE __

NOTE: ALWAYS GIVE STREET ADDRESS: UPS AND TRUCK LINES CANNOT DELIVER TO POST OFFICE BOXES.

Catalog Order Form

Cars, LLC

205 Pearl Street

Neshanic Station, NJ 08853

*Note: UPS charges extra for residential type delivery ($1.10) as well as an

extended rural area delivery fee ($1.50). These charges are not well defined

by UPS and may affect your order total. We suggest you include these

charges if you are unsure. We will gladly refund your money if not required.

wwwwww..oollddbbuuiicckkppaarrttss..ccoomm

YEAR__ CARB.____

NAME__ TRANS.___

SUPER, ROADMASTER

SERIES____ POWER BRAKES___

40,50,70,4800,ETC.

BODY STYLE___ POWER STEERING_

ENGINE, CU. IN.____ AIR CONDITIONING_____

Telephone Number: 908-369-3666 Fax: 908-369-7595

SUB TOTAL

US Shipping Add 10% ($9.50 Min.)

US Residential Delivery ($1.50/$2.50)*

NJ Addresses Add 7% Sales Tax

TOTAL AMOUNT

QTY NUMBERGROUP NUMBERPART DESCRIPTION PRICE TOTAL PRICEEACH OF ITEMS

Credit Card Information

nn Visa nn Mastercard nn Discover

IMPORTANT: COPY ACCOUNT NUMBER FROM YOUR CREDIT CARD

nnnnnnnn nnnnnnnn nnnnnnnn nnnnnnnn

EXPIRATION DATE MONTHnnnn YEARnnnn CVV2nnnnnn

SIGNATURE_____
NOTE:ADDRESS ABOVE MUST BE EXACTLY AS IT APPEARS ON YOUR STATEMENT

3 Digits on Back