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| Clark's Corvair Parts Catalog Order |
| PRINT and FAX OR MAIL CATALOG ORDER FORM |
| 2013-2018 EDITION --- NEW, MAJOR REVISION DUE MAR 2013 | | You Get 3 Catalogs |
| MAIN CATALOG - |
Over 420 Pages, over 15,000 parts |
| SPECIALTY CATALOG - |
Over 220 pages (NOS,OTTO and USED PARTS, TECH TIPS AND TOOLS) |
| SUPPLEMENT - |
Price list has over 40 pages |
________________________________________________________________________________
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| FAX FORM - just print and fax or mail | NAME:______________________________
ADDRESS:___________________________
CITY:______________________________
STATE:____________ ZIP:____________
COUNTRY:___________________________
HOME PHONE:________________________
DAYTIME PHONE:_____________________
FAX:_______________________________
EMAIL:_____________________________
3 Catalog set is over 3 lbs.
$6.00 check or credit card in the US
$9.95 to Canada (payment must be in US funds or credit card)
Foreign countries - email, call, fax or write for total
(usually $12.95)
CARD TYPE: ___VISA ___MasterCard ___Discover ___AmericanExpress.
CARD NUMBER: ________ _______ ________ ________ EXP DATE: _______
Verification Code________
Address as it shows on your credit card statement:
ADDRESS:___________________________
ZIP CODE:__________________________
CARDHOLDER NAME: __________________________________
SIGNATURE: __________________________________
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