PRINT A COPY OF THIS FORM FOR CONVENIENT ORDERING.  PLEASE READ OUR TERMS AND CONDITIONS.

Virginia Vettes Parts & Sales
105 Lindrick St. Williamsburg, Virginia 23188

Order Line 1-757-229-0011
9:00 a.m. - 8:00 p.m. Monday through Saturday

Automatic attendant available 24 hours
24 Hour Fax Line- 7 days a week 1-757-565-1629

Virginia Vettes Warehouse 1-757-565-1972

SOLD TO:
Name ____________________________________
Address___________________________________
City ___________________________ State______

Zip ________________
Home Phone (_____) _____________________
Work Phone (_____) _____________________

SHIP TO:

Name ____________________________________
Address___________________________________
City ___________________________ State______

Zip ________________

METHOD OF PAYMENT:
__ VISA __ MasterCard __ Money Order __Personal check
Account Number:_______ - _______ - _______ - _______Expires ________
Name on Card _________________________________
Signature _____________________________________
Special Instructions_______________________________________________

__Please send additional order forms.__ Please send new catalog.

Quantity

Part#/Name

Description

Price

Amount

CALL FOR SHIPPING PRICES

Subtotal

Tax

Shipping

Total