Clark's Corvair Parts Catalog Order
PRINT and FAX OR MAIL CATALOG ORDER FORM

2007-2012 EDITION --- NEW, MAJOR REVISION EDITION!!!
You Get 3 Catalogs

MAIN CATALOG - Over 400 Pages, over 12,000 parts
SPECIALTY CATALOG - Over 210 pages (NOS,OTTO and USED PARTS, TECH TIPS AND TOOLS)
SUPPLEMENT - Price list has over 40 pages
________________________________________________________________________________

FAX FORM - just print and fax or mail
CUSTOMER #_________________________

NAME:______________________________
ADDRESS:___________________________
CITY:______________________________
STATE:____________ ZIP:____________
COUNTRY:___________________________
DAYTIME PHONE:_____________________
FAX:_______________________________
3 Catalog set is over 3 lbs.
$6.00 check or credit card in the US $8.00 to Canada (payment must be in US funds or credit card)
Foreign countries - email, call, fax or write for total (usually $8 - $30 postage)
CARD TYPE: ___VISA ___MasterCard ___Discover ___AmericanExpress.
CARD NUMBER: ________ _______ ________ ________ EXP DATE: _______
NAME ON CARD: __________________________________
SIGNATURE: __________________________________

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