Caughill's Auto Parts

Order

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     Please fax or email this order form if you would like to purchase. We do not ship C.O.D.
Once your order has been submitted, call us at 1(800) 667-7479 to confirm and complete your transaction with your credit card number.
Thank you.

Please complete this form, email or fax it to 905-937-1922. (Please allow 24 hours to process).

Order Form

Name

Attention

Address

City / State / Zip

Phone Fax

Email Address

#

Expires

SHIP TO: (if different than mailing address)

Name

Attention

Address

City / State / Zip

PART REQUESTED:

Year Make / Model

Side Needed Option Needed

Part Needed
Our Stock No.
Price Quoted $    Freight Quoted $    Warranty Quoted

All Parts are invoiced in Canadian Dollars. Note: Brokerage fees may apply on orders leaving Canada.

Signature x_____________________________________ Date



© 2002 Caughill Auto Wrecking