Rallye Order Blank

(CUT AND PASTE INTO EMAIL TO MAKE IT EASIER TO GET INFO DOWN)

or send info loose in an email

 

(You can also send everything except for card number, expir date, 3 digit number and call that in...)

DATE

NAME(s) on CARD exactly as it is shown

BILLING ADDRESS of Card

SHIPPING ADDRESS -- NEEDS to match above.

(Billing Address is the address we ship to. If you want to use your work address or if your billing address is a PO Box you will need to have an alternate authorized ship-to address placed on your account that we can verify. (Call your card provider or bank; their Customer Service number is usually on the back of the card)

All this assumes your card provider will actually give the info to merchant services to the card can be OK'd. Some do; some don't; some do but they wait weeks.

If they will not do this (rare) you can send a US Postal Money Order and we can then ship anywhere.

 

EMAIL (if different than one you used to send this)

CARD NUMBER (or write I am sending a Money Order)

EXPIRATION DATE

3 DIGIT NUMBER ON BACK OF CARD..____________________________

BANK CUST SVC # ON CARD

PHONE DAY

PHONE NIGHT

PHONE CELL

YR OF CAR and TYPE (1600/2000)

VIN : (SP310 SPL310 SP311 SPL311 SR311 SRL311 + 5 DIGITS)

ENG NUMBER G15 R16 H20 U20 +5 DIGITS (or just G, R H, U + 5 digits)

QUAN.. PARTNUMBER...DESCRIPTION.- - - -.... PRICE..- -. EXT PRICE...

 

If you are ordering any general condition used parts (where the part does not have a specific "DU..." part number for THAT exact part; are their conditions you will or will not accept. Please let us know.

Are there used parts that you will accept new if used not available; or new parts that you will accept used if new not available?

 (We will not change USED parts to NEW for the fun of it; we are JUST AS HAPPY to see a used part walk out of here...

 Are there items that are more important than others? We can always ship what we have on the first day the order goes across the ship table if you want. You can put a check mark by the most important parts...as always the more you let us know; the more we will be able to follow your needs... THANKS