Serpent
Autosport
FAX Order Form
Serpent AutoSport may not stock every item on your order. Some items are "made to order". If you have navigated to this page by
mistake and would rather use our Online Form, please feel free to do so. We check FAX and e-mail several times a day.
For FAX inquirees and orders, please print out this form, fill it in, and fax
it to us.. Our fax number is at the end of
this document.
Of course you can still phone in your order to (818)
848-3681 or e-mail me and I'll call you back. serpentautosport@yahoo.com
Thank you for your assistance.
#1
Tell us about
yourself.
Your full name, as it appears on your check:
_____________________________________________________
The address that you want us to ship to:
_____________________________________________________
_____________________________________________________
_____________________________________________________
Zip or Postal Code:
_____________________________________________________
We can not accept Post Office Boxes for shipping addresses!
Sorry.
Your daytime telephone number:
___________________________________
Your fax number (not required): ____________________________________
Your e-mail address: _______________________________________________
(We don't send spam. This is just to notify you when your order
has been shipped and give you the tracking number.)
#2
How would you like to pay
for your order?
Methods of Payment accepted:
Paypal
Our Paypal account is charliedimarco@aol.com
Checks & Money Orders
If paying by check, please write your check number here _________. We will
hold your order for 10 days until we receive your check. If your check is not
received in 10 days, the items that your ordered will be returned to
stock. All checks received must clear prior to shipment. This could
take from 10 to 15 days.
#3
How would you like your
order shipped?
Call for shipping costs (818) 848-3681
#4
O.k. Now the easy part:
What can we get for you?
Item number-----------Brief description----------------------------Unit
price-----Total
__________
_______________________________
_________ ___________
__________ ________________________________
_________ ___________
__________ ________________________________
_________ ___________
__________ ________________________________
_________ ___________
__________ ________________________________
_________ ___________
__________ ________________________________
_________ ___________
__________ ________________________________
_________ ___________
--------------------------------------------------------------------------------------- subtotal: ___________
------------------ Los Angeles County California
residents please add 8.25% tax ___________
------------------ California
residents out of L.A. County please add 7.% tax ___________
----------------------------------------------------------- Estimated shipping
charges* + ___________
------------------------------------------------------------------------------ Your order
total: ___________
Questions or Comments?
If you have questions or comments regarding your order, please write them here:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Now that you have filled out the form, fax it to our fax machine which is
on 24 hours a day, 7 days a week.USA and Canada -- 1 (818) 848-3681
We will e-mail or fax you when we get your fax.
In case you need it, here's our address:
Serpent Autosport
1123 N. Cordova St.
Burbank, CA
91505
Thank you for your order!