Fax credit card orders to: (586) 727-8639
Sled-Parts.com
68890 Howard Street
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

 

 

        
 

 

        
 

 

        
 

 

        
           
 

 

        
 

 

        
 

 

        
 

 

        

 

Sub-total

  

Orders under $300 (7.95)

Shipping

  

Orders over $300 (Free*)

Total U.S.

  

  Visa          Mastercard          Discover          American Express

                               

Exp. Date

 

         

Signature______________________________________Date_________________