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 % 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