Page 199 of K.A.R. Parts Catalog by K.A.R. Auto Group

197 TO ORDER CALL 800-341-5949 OR FAX 614-294-5692 Order Form Name ________________________________________________________ Address ______________________________________________________ _____________________________________________________________ City State ___________ Zip/Postal Code Country _______________________ Phone________________________ Date __________________________ Mail order to: K.A.R. Auto Group, Inc. "The Mustang People" 1166 Cleveland Ave. Columbus, Ohio 43201 Name ____________________________________________________ Address __________________________________________________ _________________________________________________________ City State Country _______________ Zip/Postal Code Phone_________________________ SHIPPING ADDRESS (IF DIFFERENT) SHIP: UPS TRUCK U.S.MAIL PICK-UP OTHER NOTE: ALWAYS GIVE STREET ADDRESS AS U.P.S. AND TRUCK LINE CANNOT DELIVER TO A POST OFFICE BOX NUMBER Coupe Convertible Fastback Mach1 Year _____ Engine Trans ________ Interior Color __________________________ Exterior Color _______________________ Due to periodic price increases by our suppliers, prices may change without prior notice. We intend to hold these changes to a minimum. Choice of 3 ways to order: Personal Check Money Order or Bank Check Charge: VISA MasterCard Discover Name on Card __________________________ Card No. _______________________________ Exp. Date_______________________________ Signed _________________________________ (Card owner's signature) E-mail Address optional Quantity Description Price Each Total Amount Thank you for your order! www.karmustang.com Subtotal Sales Tax Ohio Residents: ___________________County______% Freight (Minimum Charge $8.00) Handling Ins (Minimum Charge 5.00) Total

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