Fax credit card orders to: (586) 727-8639

Sled-Parts.com
35520 Logg Rd
Richmond, MI  48062
(586) 727-4899
(586) 727-8639 fax
Order Form
Ordered By: (Billing info)
Name__________________________
Address____________________________
City________________State______Zip________
Phone__________________________
Email__________________________
Ship To: (If different)
Name______________________________
Address____________________________
City________________State______Zip________
Phone__________________________
Email__________________________

Part Number

Description

Size

Color

Qty

Price

 

 

       
 

 

       
 

 

       
 

 

       
           
 

 

       
 

 

       
 

 

       
 

 

       

Orders under $50 ($12.95)

Sub-total

 

Orders  $50-$300 ($7.95)

Shipping

 

Orders over $300 (Free*)

Total U.S.

 

  Visa          Mastercard          Discover          American Express

                               

Exp. Date

 

        

Signature______________________________________Date_________________