Email Order Form

We appreciate your business! This e-mail form is provided for your convenience.

If you are uncomfortable sending your order through this system

please use the printable order form and fax to: (503) 831- 4913

Place your order in complete confidence with the added protection of secure online transactions!

Use of this order form or placing an order indicates that you have read and accept our

Policies, Terms and Conditions without exclusion and to which all sales are bound.

How to Contact Classic Buicks

Information with an asterisk * is Required.

PLEASE PRINT this form for your records Before you click to submit your order.

VERY IMPORTANT! Be sure to add us to your "Allowed Senders" E-mail list before you contact us.

You must include your Complete and Valid E-mail Address in order for us to reply!

OUR CUSTOMER PRIVACY and SECURITY GUARANTEE

(see bottom of home page)

CREDIT CARD BILLING ADDRESS Where you receive your bill. We cannot process your order without this.
* Name
* E-mail
* Address
* City
* State		* Zip
Country
* Phone (Day)
FAX

SHIP TO ADDRESS: UPS & FEDEX will NOT deliver to a P.O. BOX, so give us your ship to "Mailing Address" also, as we often use US MAIL.
Ship To Name
Ship To Company
Ship To Address UPS
Ship To Address USMAIL
Ship To City
State		Zip
Ship To Phone (Day)
Ship To FAX

Payment Information (Please specify credit card or debit card)
* Credit Card		* Exp Date
* Card #
* Cardholder

Year of car and model of car is very important, as well as the style # on the Fisher code plate on firewall under hood.

(Example: Year=1964 Model=Electra Fisher Style #=64-4867)

* Year & Model
* Body Type
Fisher Style #
Engine
Transmission
Options	P/S P/B A/C

QTY	PART# and PART NAME or DESCRIPTION	PRICE










* SUB-TOTAL of Parts

Please note: We cannot ship Rush, or 1-2-3 day Air orders This is our Continental USA, 48 States Domestic Ground Shipping Rates. If you are out of USA, for USPS International Air Shipping Rates add 3 TIMES the US rate and we will adjust the $$ amount at our end when we ship your order out.
Order Amount	Shipping & Handling	Order Amount	Shipping & Handling
$1.00 - $25.00	Add $ 8.00	$250.01 - $300.00	Add $35.00
$25.01 - $40.00	Add $ 9.00	$300.01 - $350.00	Add $40.00
$40.01 - $60.00	Add $12.00	$350.01 - $400.00	Add $46.00
$60.01 - $75.00	Add $16.00	$400.01 - $500.00	Add $52.00
$75.01 - $100.00	Add $19.00	$500.01 - $600.00	Add $58.00
$100.01 - $150.00	Add $22.00	$600.01 - $800.00	Add $64.00
$150.01 - $200.00	Add $25.00	$800.01 - $999.99	Add $70.00
$200.01 - $250.00	Add $30.00	$1000.00 or more	Add $80.00

* you must put a $ number here! SHIPPING
* ORDER TOTAL

VERY IMPORTANT! Be sure to add us to your "Allowed Senders" E-mail list before you contact us.

CREDIT CARD BILLING ADDRESS

SHIP TO ADDRESS: UPS & FEDEX will NOT deliver to a P.O. BOX, so

give us your ship to "Mailing Address" also, as we often use US MAIL.

Payment Information (Please specify credit card or debit card)

QTY

PART# and PART NAME or DESCRIPTION

PRICE

Please note: We cannot ship Rush, or 1-2-3 day Air orders

This is our Continental USA, 48 States Domestic Ground Shipping Rates.

If you are out of USA, for USPS International Air Shipping Rates

add 3 TIMES the US rate and we will adjust the $$ amount

at our end when we ship your order out.

Order Amount

Shipping & Handling

Order Amount

Shipping & Handling

$1.00 - $25.00

Add $ 8.00

$250.01 - $300.00

Add $35.00

$25.01 - $40.00

Add $ 9.00

$300.01 - $350.00

Add $40.00

$40.01 - $60.00

Add $12.00

$350.01 - $400.00

Add $46.00

$60.01 - $75.00

Add $16.00

$400.01 - $500.00

Add $52.00

$75.01 - $100.00

Add $19.00

$500.01 - $600.00

Add $58.00

$100.01 - $150.00

Add $22.00

$600.01 - $800.00

Add $64.00

$150.01 - $200.00

Add $25.00

$800.01 - $999.99

Add $70.00

$200.01 - $250.00

Add $30.00

$1000.00 or more

Add $80.00

Please click submit button ONCE when completed.