Ordering Form

You may use the following form when ordering. Please use order numbers from the catalog and specify quantity or length in feet or inches as appropriate. I accept personal and bank checks made out in US funds, and the following credit cards: Visa, Mastercard, and Discover. Please include your phone number in case there is a problem with the order. When paying by credit card, the shipping address must be the same as your credit card billing address. If not, please include your credit card billing address.

All orders are shipped US Postaal Service. Please be sure that you provide a valid postal address!!!

Please fill out your shipping address:

Name

Address

P. O. Box

City/Town

State/Province

Country (if not USA)

Postal/ZIP Code

Please fill out if using a credit card. Circle one of the following: Visa MasterCard Discover

Card number

Expiration date

3-digit code on the back

Name as it appears on the card

Billing address if different from above

Phone number (evening)

	Order Number	Description	Quantity	Price Each	Total
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
				Total
		Please add 6 ½ % sales tax in MA		Tax
		For shipping, add $7 for small items, $12 for larger orders, more for wire or heavy orders. Extra will be refunded. Add an extra 50% for shipments to Canada.		Shipping
		Other international orders, please write or call		Total

Please makes checks payable to Magneto Parts in US funds and send with order to:

Magneto Parts

Attn: Bill Lopoulos

237 Kelly Rd

Northbridge, MA

01534

I thank you for your business!!

Bill Lopoulos