Order Form

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E-Mail Order Form

Sorry-we do not accept credit cards from foreign customers. Submit your order and we will e-mail you with total charges so you can mail a certified check or Money Order in U.S. Funds only.

Bill To (PHONE NUMBER REQUIRED)


*Name*
*Street address*
*City*			*State/Province*
*Zip/Postal code*			*Country*


*Credit Card*			*Phone*
*Card number*			*Work Phone*
*Expiration Date*			*FAX*
*Cardholder name*			*E-mail*

Ship To (U.P.S. DELIVERABLE ADDRESSES/SMALL ITEMS MAY BE SHIPPED PRIORITY MAIL)

*Name*
*Address*
*City*			*State/Province*
*Zip/Postal code*			*Country*

Please do not use "$" signs when inputting dollar amounts.

Your Order

QTY	DESCRIPTION	PRICE (each)	TOTAL

Shipping Chart (add shipping and tax to total from above)

(Below rates do not apply to foreign orders. Submit your product order and we will e-mail you with the shipping charges.)

ORDER VALUE	RATE	ORDER VALUE	RATE
0 - $50.00	$5.00	$400.01 - $600.00	$14.00
$50.01 - $75.00	$6.00	$600.01 and up	$15.00
$75.01 - $125.00	$7.00	Tires (Each)	$8.00
$125.01 - $175.00	$9.00	Tires & Wheels (Each)	$18.00
$175.01 - $250.00	$11.00	C.O.D.	$7.50
$250.01 - $400.00	$13.00	Oversized/HazMat*	$15.00

	Subtotal
	Ct. residents add 6 % Sales Tax
	Shipping (from table)

	Total Due

Contact info:
Surf & Turf Racing
556 Wrights Crossing Road
Pomfret Center, CT 06259
(860) 963-7792
email: surfnturf1@juno.com