Standard Order
Form:
Print this form. FAX or mail with check it to Mustangworld.com (949) 515
- 7499.
Your Name___________________________________________ MW Club #:___________
Your Address:_________________________________________
_____________________________________________________
_____________________________________________________
Your Email:___________________________________________
(For Shipping confirmation.)
If paying by credit card:
Credit Card (circle one): ...... Visa......... Mastercard...... Discover......
American Express
CARD NUMBER:_________________________________________
Card Holder Name:______________________________________ Expiration Date:_________
Do you want us to Email you when we send out your order ? (circle) .....yes........ no
What year is your Mustang ?__________. Style ? (circle): .......coupe.........convertible
Circle which model: ...
COBRA .... MUSTANG GT..... MUSTANG. Rim Size?________
Does your stang have power locks and windows ? (circle) ..... yes......no
Tell us what you want to order (note special colors like Carbon fiber and aluminum cost extra):
| ITEM | COLOR / DESCRIPTION | QTY | PRICE |
ORDER TOTAL:__________________________
Use 2 forms if needed for more item space. Or attach seperate sheet. PRINT CLEARLY.
(FAX Form form part no. 083099rev1.)