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Use of this order form or your placing an order indicates that you have read and
accept without exclusion Classic
Buicks Policies, Terms and
Conditions.
Please PRINT CLEARLY & NEATLY on this form and
fax
or mail
in your order
and do include your country phone code # if you are faxing from out of USA.
Our
24/7 Fax number is (503) 831- 4913
Our mailing address is Classic Buicks, PO Box 28,
Dallas, OR 97338-0028
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OUR CUSTOMER PRIVACY and SECURITY GUARANTEE
(see bottom of home page)
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!
Billing and Shipping Information
CREDIT CARD BILLING ADDRESS: We cannot process your order without this.
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Name
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E-Mail
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Address
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City
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State
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ZIP
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Country
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Phone (Home)
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Phone
(Day)
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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.
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Name
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Company
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Address
UPS
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Address
MAIL
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City
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State
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ZIP
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Phone
(Day)
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FAX
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Payment
Information (Specify: ___Credit or ___Debit "Check" Card
Credit Card
Visa or
M/C
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Exp Date
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Card #
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3-digit
# on back of card
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Signature
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Vehicle Information
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
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Fisher Style
#
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Body Type
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Doors
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Top
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Engine
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Transmission
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Options
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PowerSteering
A/C
PowerBrakes
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Order Information
QTY
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PART # and PART NAME or DESCRIPTION
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ITEM
PRICE
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TOTAL
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STANDARD
SHIPPING method is UPS GROUND
(See Chart Below)
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SUB-TOTAL
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For INTERNATIONAL ORDERS, Fax or E-mail for Parcel-Post Air Shipping Rates
We
cannot ship Rush, or 1-2-3 day Air Orders
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SHIPPING
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Payment in U.S.
Funds ONLY!
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TOTAL
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Shipping Information
Please Note: We cannot ship Rush, or 1-2-3 day Air Orders.
This is our Continental
USA, 48 States Domestic Ground Shipping Rate Guide.
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.
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Order
Amount
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Shipping
& Handling
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Order
Amount
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Shipping
& Handling
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$1.00 - $25.00
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Add $8.00
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$250.01 - $300.00
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Add
$35.00
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$25.01 - $40.00
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Add $9.00
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$300.01 - $350.00
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Add
$40.00
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$40.01 - $60.00
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Add $12.00
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$350.01 - $400.00
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Add
$46.00
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$60.01 - $75.00
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Add $16.00
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$400.01 - $500.00
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Add
$52.00
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$75.01 - $100.00
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Add $19.00
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$500.01 - $600.00
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Add
$58.00
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$100.01 - $150.00
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Add $22.00
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$600.01 - $800.00
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Add
$64.00
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$150.01 - $200.00
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Add
$25.00
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$800.01 - $999.99
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Add
$70.00
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$200.01 - $250.00
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Add
$30.00
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$1000.00 or more
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Add
$80.00
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