AMK Products Inc.   Fax or Mail   Print Order Form

                Ship To:                                                                        Bill To:
 Name    Name  
 Street    Street  
 City    City  
 State/Zip    State/Zip  
 Phone    Phone  

 
  ALL information MUST be completed or your will NOT be processed.


Car Info:    Year ______     Model _________     Body Style _________     Engine _________    Trans ________
 

   Interior _______      Generator __     Alternator __     PS __      AC __     Drum Brakes __     Disc Brakes __     Smog __

Qty Part # Page # Description Price Total
           
           
           
           
           
           
           
           
           

AMK Products, Inc.

800 Airport Road, Dept. E

Winchester, VA  22602

$30 MIN (1st order includes a catalog, additional are $6) Sub-Total

  

Shipping* 5% ($8.00 Min.)

  

COD $9 per package

  

Sales Tax (VA only) 5%

  

Insurance** .40 per $100

  

Total

  

             Visa          MC          Check          Money Order          COD          Email address                                                               

 
  Card #                        -                      -                      -                         Expires                Signature                                                       
 

* Heavy Items, Export or Expedite cost extra      ** First $100 shipped via UPS already insured

phone  540-662-7820    Fax    800-518-2871