CROW AUTOMOTIVE PRODUCTS
ORDER FORM
P.O. BOX 6294
TORRANCE, CA. 90504
PHONE: (310)
532-5528 FAX: (310) 868-2703
COMPANY NAME: ________________________________________________ DATE: ________________
ADDRESS: ________________________________________________________ P.O. #: _______________
PHONE: _______________________________________ ORDERED BY: ___________________________
YEAR / MAKE OF VEHICLE: _______________________________________________________________
SALESPERSON: ____________________________ RESALE #: ___________________________________
Quantity |
Thickness |
Vehicle Bolt Circle |
Wheel Bolt Circle |
Center-Bore Hub |
Center-Bore Wheel |
Outside Diameter |
Wheel Stud Size |
Unit Price |
Total |
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**SHIPPING
INSTRUCTIONS**
UPS SHIPPING: REG. GROUND ______ 3-DAY SELECT ______ 2ND DAY AIR _________
NEXT DAY AIR ______ NEXT DAY AIR (SATURDAY) ______ FEDERAL EXPRESS ______
WILL CALL ______ SPECIAL INSTRUCTIONS: _____________________________________
**METHOD
OF PAYMENT**
VISA ___________________________________________________ EXP. DATE ___________
MASTERCARD __________________________________________ EXP. DATE ___________
C.O.D. ______ NET 30 DAYS ______ COMPANY CK. ______ MONEY ORDER ________
UPS
AMOUNT: ____________________ TOTAL:
____________________