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To order your Collectors Hotrod, you can use this form by printing it out and sending it via US Postal Service to the address shown or simply by calling the phone numbers listed below. We also accept Fax messages. If you intend to pay by Mastercard, Visa or American Express, we suggest phoning the order in to us for security reasons.
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Phone: (800) 997-0200 |
Fax: (262) 877-9320 |
Phone: (262) 877-9343 |
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Order Form
| Name:_______________________________________ | Date: ____ /_____/_______ |
| Street:______________________________________ | |
| City:_________________________________________ | Day Phone:(____) ____- _______ |
| State:_________________Zip:______________ | Eve Phone:(____) ____- _______ |
Payment Method
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Personal Check
#____________________ Please
allow 10 days for check to clear We gladly accept the following:
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| VISA / Mastercard /American Express # | _______________________________________ |
| Expiration Date: | ___/____/_________ |
| Cardholder Name: | __________________________________ |
| Signature: | __________________________________ |
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Sorry, this model is sold out |
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Coupe $350.00 |
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Roadster $450.00 |
| Shipping and Handling | $25.00 | Shipping and Handling | $25.00 |
| Subtotal | ___________ | Subtotal | ___________ |
| WI. Residents add 5.5% Sales Tax | ___________ | WI. Residents add 5.5% Sales Tax | ___________ |
| Total | ___________ | Total | ___________ |
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For additional printed information and photo, you can E-mail us, Fax us at (262) 877-9320 or phone us at (800) 997-0200 Barnett Design Inc. 133 East Main St. P.O. Box 160 Twin Lakes, WI 53181-0160 |
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