Standard FAX Order Form:
Print this form. FAX it to Mustangworld.com (949) 515 - 7499.

Your Name MW CLUB Number:

Your Address:



Your Email: (For Shipping confirmation.)

Credit Card VISA MASTERCARD AMERICAN EXPRESS DISCOVER
CARD NUMBER
Card Holder Name Expiration Date
Do you want us to Email you when we send out your order ? YES NO

What year is your Mustang ? Style ? COUPE CONVERTIBLE Which model ? GT V6 LX COBRA
Does your stang have power locks and windows ? YES NO Rim Size ? 15 16 17 18

Tell us what you want to order (Note: special colors like Carbon fiber and aluminum cost extra):

ORDER TOTAL

Use 2 forms if needed for more item space. Or attach seperate sheet if this is not printing correctly.

(FAX Form form part no. 083099rev1.)