ItalianCarParts.Com
Telephone: +503.655.9811         Fax: +503.655.9581

ItalianCarParts.Com Order Form

Items marked with an * are required fields. Prices are in US Currency.
Price & product availability is subject to change without notice. 

How did you find us?:

First Name: * Last Name: *
Company Name:
Shipping Address: *
Address 2:
City: * State:  *
Zip code: * Country: *
Home#: * Work#:
Fax#: E-mail: *

Vehicle Make: * Model: * Year: *
Vin/Ser.#: 
Version (USA, Euro, Etc.): *  Left/Right Hand Drive L  R
Engine (Liters):     Cylinders: 2 4 6 8 12
Transmission: Auto 4 Speed  5 Speed  6 Speed

Method of Payment: *     Credit Card Number: *
Expiration Date: *  Security code, last 3 digits from back of credit card: *
ALL CREDIT CARD CUSTOMERS: If the ship to address above is different than the billing address,  include the complete Billing Address in the Space Provided Below.

Credit Card Holder Name (As it appears on Credit Card):
*   
Credit Card Billing Address:
Billing Address Same As Shipping Address
Address 1*: 
Address 2*: 
City*:  State*:   Zip*:
C.C. Holder Daytime Phone#:

Italian Car Parts Product Order Form
 

Part #

Qty

Item Description

Color, Size
Type

(US Dollars)
$ Price Each

(US Dollars)
$ Total

1.
2.
3.
4.
5.
6.
7.

Order Total

USA

Canada

Rest of World

Orders To $24.99

$10.50

$12.50

$24.00

to $50

$12.50

$15.50

$29.50

to $100

$14.50

$19.50

$34.00

to $200

$18.50

$24.50

$44.50

to $300

$23.50

$27.50

$58.50

to $500

$28.50

$34.50

$79.50

Parcels shipped to locations outside the USA
will be charges Handling & Insurance as listed below:
Orders: up to $250.00: $16.50, $251. to $500.: $19.50
 $501.+: $26.50


Sub Total
 

 *


S&H
chart at left

 

 *

ORDER TOTAL

*

Delivery on all custom made & special order items allow 4 to 6 weeks

 Print a copy of your completed order form for your records!
Click here to review our Terms and Conditions.

Signature:  Order Date: 
Customer acknowledges & accepts our terms & conditions as outlined in the
Terms and Conditions section of our Web Site.

Your Comments Are Always Welcome...

Thank you for your business!

Please click the Order Button only once and allow a few moments for the transaction to process, Thank you.