SPORTS CAR WORLD®
253 LANGFORD COVE ROAD
EVANT , TEXAS U.S.A. 76525
email scw@centex.net
web site http://www.sportscarworld.com
PHONE : 254-471-5539
FAX: 254-471-5617
OPEN (MON-FRIDAY) 9 TO 5 CENTRAL U.S. STANDARD TIME
INSTRUCTIONS: Upon placing an order. Fill out all Blanks. Please be specific on what
you want. Please try to use part numbers where possible.
NAME:
SHIP TO:
STREET:
___________________________________________
STREET:
___________________________________________
CITY, STATE, ZIP, COUNTRY:
CITY, STATE, ZIP, COUNTRY;
HOME PHONE #
SHIP BY: (UPS): Ground, Red, Blue
WORK PHONE #
U.S. Mail or Priority Mail
QUANTITY
PART #
DESCRIPTION
PRICE EACH
TOTALS
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PAY BY:(CIRCLE ONE)

 SUB TOTAL _______________

CASHIER'S CHECK, MONEY ORDER, CREDIT CARD

 TEXAS ADD 8.25% TAX _______________
Credit Card Type : (Circle One)
VISA, MASTERCARD, AMERICAN EXPRESS
 SHIPPING_______________

TOTAL SALE _______________
CREDIT CARD # ____________________________________
EXP Date: ________/_________/________

FULL NAME ON CARD: __________________________________

SIGNATURE ___________________________________________