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Printable Mail Order or Fax Form



Please print clearly. Please be sure to provide complete billing information.

Company Name:

Customer Name:

Address:

City:

State:

Zip:

Day Phone:

Eve. Phone:

Fax:

E-mail:

 

Qty

Item

Description

Price

Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SUBTOTAL:

 

SALES TAX:
(6.00% in PA)

 

SHIPPING (USA ONLY):

$8.00

TOTAL AMOUNT:

$

 

PAYMENT INFORMATION

PAYMENT TYPE: (Please choose one.) No Cash or C.O.D. accepted. Check/money order payments accepted with postal mail orders ONLY.

o Visa            o MasterCard

o AMEX           o Discover 

o Check            o Money Order
Make checks payable to: Automotive Tool Express/ USA Tools (checks must be in US dollars ONLY – and your Drivers License Number is required)  Please provide your Drivers License number here:

Order by Phone:  717-632-8473 By Fax:  717-630-8690  / www.autotoolexpress.com      sales@autotoolexpress.com

CARD NUMBER: (Must be 16 digits)

__ /__ EXP. DATE  

    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |    |

CARDHOLDER'S NAME AS IT APPEARS ON THE CARD:

 

CARDHOLDER'S SIGNATURE:* (Orders can not be processed without signature)

X

Mail your order / check payable  to:   Automotive Tool Express/USA Tools
PO Box 97; McSherrystown PA  17344-0098 (or) Fax to:  717-630-8690