MCW Automotive Finishes, P.O. Box 0518, Burlington, NC 27216-0518

Please Print this form and Mail or fax (336-228-0240)

You last ordered: Revised 2/08 Date:
ORDER PAINT ITEMS ON THIS FORM

Note: Minimum order is $10.00
    Check, Money Order, MC or Visa only.
    Orders are filled in 2 or 3 days.

    Allow 1-2 weeks for delivery. A new
    order form will be sent with each order.

   NO PHONE ORDERS.

Name:_______________________________________________

Address:_____________________________________________
                            (no P.O. Box if order is over $25.00)
City:______________________________State:______________
*

Zip:______________________Phone:_____________________
       
(see Rural Zip note)

 Qty  Size  Part No  Description               Price ea  Total    Qty  Size  Part No  Description             Price ea  Total  
 

NO RESIN

         

 NO RESIN

   
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                       
                     
                   Merchandise Total  $_____  _____

Total Price/Shipping & Handling (except West Coast*)
* Az, Ca, Id, Mt, Nv, Or, Ut & Wa. add $1.00 to below chart:
U.S. Mail       
   Up to                                                UPS only (cont.) 
#
  $ 25.00             $ 7.00                        40.01 - 70.00    9.25
UPS surface shipment only
#
            70.01 - 90.00    10.00 
   $25.01 - 40.00   $8.50                        90.01- Up        11.00

             
#All UPS Rural Zip Codes add $2.50 to above.

Shipping & Handling *  $_______________________
  (see chart at left)
              (NC include in sales tax)

Subtotal  $__________________________

6.75% Sales Tax  $________   ___________________ 
  (NC residents only)
                   (Name of NC county)

Total Enclosed  $______________________________

                            No phone orders.

  Charge to : [ ] Mastercard [ ] Visa Card # __________________________________________ Exp. date __________

   Signature _________________________________________________ Daytime phone _______________________

   Your card billing address_________________________________ City ___________________ State ____ Zip _______

                    
                (Sorry, NO orders outside United States - paint is hazzardous material)
      Thank you for your order!

 

 

 

 

 

 

 


Thanks to all modelers for your support!

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