Name First, Middle Initial, Last:
Mailing Address Line 1 :
Mailing Address Line 2 :
City:
State: Zip Code:
Country:
Phone Number:
E-mail Address:
Enter Year of Car : Make of Car:
Enter Color of Car:
PRODUCT ORDER SELECTION
Select Identity Kit, then select the appropriate shipping charges to get the total of your order:
REGULAR VR-4 IDENTITY KIT (1 front & 2 side graphics) - $ 39.95
REGULAR R/T TURBO IDENTITY KIT (1 front & 2 side graphics) - $ 39.95
Add $5.95 Shipping & Handling (USA) = $45.90 Total
Add $6.95 for shipment to Canada = $46.90 Total
Add $11.95 for shipment to all other countries = $51.90 Total
DELUXE VR-4 IDENTITY KIT (2 front & 3 side graphics) - $ 59.95
DELUXE R/T TURBO IDENTITY KIT (2 front & 3 side graphics) - $ 59.95
Add $5.95 Shipping & Handling (USA) = $65.90 Total
Add $6.95 for shipment to Canada = $66.90 Total
Add $11.95 for shipment to all other countries = $71.90 Total
Enclose a copy of the order form above, along with a cashier check (certified bank
check) or money order (US Funds), payable to: P.D. SLAGLE. Send to the following
address:
Return to www.Chapor.com's Home Page.