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Please note this is NOT a secure page - 
You can do one of the following: 1) Fill out the form as is - the chances of a small text file being intercepted is remote
                                                                             and your credit card company protects you from fraud. We use a FIREWALL
                                                                        2) Fill out the form twice - the first form complete minus the last 4 digits and the expiry date
                                                                             of your credit card - the 2nd form with just your name to match up the 1st form and the last
                                                                             4 digits of credit card and expiry date.
                                                                         3) Call the toll free phone # to place an order
                                                                         4) Print this form and mail it with a cheque or money order to the address on the contact page.
                                                                         5) Print & fax this form to the fax # on the contact page.
                                                                        6) Pay by PayPal - click this link to go to our PayPal account - HERE-

For estimated additional shipping charges please check here:

 1) Your shipping information:

     First name:  Last name:   as it appears on credit card

     Street :  Appartment/Box #:  City: 

     State/Province:  Country:  Other Country: 

                                                                          Zip/Postal:  

     Email:  Phone #: required to contact you if more info is needed

2- Your parts to be ordered:

 Part descritpion 1:  ie. Strut tower bar/seat belt pad/fog light kit/bulb # 1157/lowering spring
                      Part #:  if known - if not we will be able to get it if all other parts of this form are filled out                      
                       Color:  if it is applicable

Part descritpion 2:  ie. Strut tower bar/seat belt pad/fog light kit/bulb # 1157/lowering spring
                     Part #:  if known - if not we will be able to get it if all other parts of this form are filled out       
                      Color:  if it is applicable

Part descritpion 3:  ie. Strut tower bar/seat belt pad/fog light kit/bulb # 1157/lowering spring
                     Part #:  if known - if not we will be able to get it if all other parts of this form are filled out                   
                      Color:  if it is applicable

Part descritpion 4:  ie. Strut tower bar/seat belt pad/fog light kit/bulb # 1157/lowering spring               
                     Part #:  if known - if not we will be able to get it if all other parts of this form are filled out   
                      Color:  if it is applicable
Other:    Please let us know any other info that may be useful

3)Your car information:

Make:   Model:   Year:   Cylinders:

4) Your credit card info:

Credit card:   Card #:          Exp date:

Send order to PPS online:           Clear form:

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SHIPPING COSTS: ESTIMATED

 Small packages in 1/2 sized bubble envelopes 
(emblems/bulbs/side markers etc. - mailed) $5.50 - $6.50
Small packages in full sized bubble envelopes
(pedals/seat belt pads etc. - mailed)  - $8.50 - $10.50
Small boxes - (air filters/4 piece pedal sets) -  mailed $10.50 - $12.00
Mid sized boxes - (carpets/strut bars/air intakes)  -  mailed $12.00 - $15.50
Heavy boxes - (X-Drilled rotors/mags/tires) -  UPS - $18.00 - $25.00

Home :: Shop by Categoriy :: Shop by Brand :: Buy Now :: Support :: Specials :: Race News :: Login

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