Specifications

174
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ORDER FORM
Parts Total Cost
used to figure shipping costs
Miscellaneous Fees
Cores, Crating, Flat-Rate Shipping,
OS items, Fenders and some parts
might have extra fees—see catalog
Sales Tax
all Florida, Georgia, and New York sales
are subject to applicable sales tax
q
check if walk-in
Shipping
fixed rate (contiguous U.S.) or
estimated (all other) see chart at left
TOTAL PAYMENT
Shipping Charges
EASY RATE SHIPPING ESTIMATED EXPRESS
SHIPPING RATES
Parts Total Cost
(from far right column)
Regular Rate
Within the
Contiguous U.S. 2-DAY NEXT DAY
$.01 — $50 $9.99 $34.99 $49.99
$51 — $100 $16.99 $41.99 $56.99
$101 — $200 $22.99 $47.99 $62.99
$201 — $400 $30.99 $55.99 $70.99
$401 — $600 $38.99 $63.99 $78.99
$601 — $800 $44.99 $69.99 $84.99
$801 — $1,000 $50.99 $75.99 $90.99
$1,001 + $55.99 $81.99 $95.99
Additional OS item charge(s) + $9.99 ea OS item
*
+ $19.99 ea OS item + $29.99 ea OS item
# Part Number Page # Part Name Qty. Price Ea. Total Amt.
1
2
3
4
5
6
7
8
Payment Enclosed (Bank or Postal Money Orders and Checks) Please do not phone in an order for which you are mailing a check
Local and International Order by 24 Hour Fax E-mail Website
[phone] [phone] [e-mail] EcklersCorvette.com
ORDER LINE
US, Canada, Hawaii, Alaska, Guam,
Virgin Islands, Puerto Rico, and
other Caribbean Islands
(
800
)
327-4868
5200 S. Washington Ave.
Titusville, FL 32780
Signature ________________________________________________ Expiration Date ____________________ 3-Digit CCV
Card #
E-mail Address ______________________________________
Name ____________________________________________ Date _________________
Shipping Street Address (no PO boxes) __________________________________________
City _____________________ State _____ Country _______ Zip/Postal Code _______
Area Code and Phone ( ______ ) _____________ Cell Phone ( ______ ) ______________
Billing Street Address (
if different than shipping address) ________________________________
City _____________________ State _____ Country _______ Zip/Postal Code________
Is this your first order with Eckler’s?
Yes
No Customer # _______________
Payment Options
Items Ordered
Please Print Clearly
Vehicle Year ______ Model ______________________ Body Style ________________
* In addition to normal shipping, each OS item will incur this charge with no limit to the
number of items.
Index, end pages.indd 174 1/16/15 12:31 PM