Mail Orders To Mid Fifty F-100 Parts 5221 Highway 86 Golden Valley AZ 86413

Mail Order To: MID FIFTY F-100 PARTS 5221 HIGHWAY 86 GOLDEN VALLEY AZ 86413		Fax Orders To: 928-565-2822 Phone Orders: 800-252-1956

Part Number	Description	Qty. (Ea., Kit)	Price Each	Total Price












Shipping: Normal shipping charges are 10% of total order. Note or call for any special shipping charges. UPS 3 DAY AIR, MINIMUM additional charge $6.00 UPS 2 DAY AIR, MINIMUM additional charge $10.00 UPS NEXT DAY, MINIMUM additional charge $16.00 COD, UPS charge for collecting on delivery $ 9.00 PAYMENT: We accept Master Card, Visa, Discover, and American Express. (or) Enclose a check or money order. We also ship UPS COD. Add $5.90 COD fee. Credit Card: ___Master Card ___Visa ___Discover ___American Express Card Number: ____ \| ____ \| ____\| ____ Expires:____/____/____ Signature__________________________________ I authorize Mid Fifty F-100 Parts to charge my credit card account for the amount listed in the TOTAL.			Total Parts
			Normal Shipping 10% of total
			UPS Air fee
			UPS COD fee
			Sales Tax
			Other
			Total