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 RESIN ITEMS ON THIS FORM
Note:
    Check, Money Order, MC or Visa only.
    Allow 2-8 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 $20.00)
City:______________________________State:_____________ *

Zip: #_____________________Phone:_____________________
 Qty  Part No  Description                                                                                  Price ea          Total        

 NO PAINT ON THIS FORM - ORDER PAINT ON SEPARATE ORDER FORM, NOT SHIPPED TOGETHER!
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
                                                                       Merchandise Total  $_________  ________

Shipping & Handling (except West Coast & Foreign *)
* Az, Ca, Id, Mt, Nv, Or, Ut & Wa. add $1.00 to below chart:
1-2 Items $8.50       3-4 Items  $9.25
5-6 Items  $10.00       7 + Items  $11.00 
Above UPS # - US Mainland only
# All UPS Rural Zip Codes add $2.50 to above.

* Foreign must be on credit card - US Mail
exact postage plus $5.00 handling. 

 Shipping & Handling * $______________________
  (see chart at left - foreign, by insured express mail)
Subtotal  $______________________________
                          (NC include S&H in sales tax)
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 paint orders outside United States)                                                Thank you for your order!

 

 

 

 

  

  

 

 

 

  

Thanks to all modelers for your support!

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