tslogosm.gif (6184 bytes) Parts Order Form

This entire transaction is processed via our secured server.
  • If ordering 7/16" and larger bolts, please provide application.

Your Name:    Your Email:    Customer ID #:

Shipping Address

Street Address:
City:
State:
Zip Code:

Mailing Address

Address:
City:
State:
Zip Code:

Telephone (Day):
Telephone (Evening):
Year, Make, and Model of Vehicle:
Engine Size:

PART #QTYDESCRIPTIONPAGE #EACHTOTAL
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
MERCHANDISE TOTAL:  
PA ONLY: 6% SALES TAX:  
SHIPPING & HANDLING:  
COD CHARGE $10.00:  
TOTAL AMOUNT DUE:  

Credit Card Type:
Credit Card Number:
Credit Card Expiration:
Credit Card Security Code:
(3 digits on back of card for Visa/MC/Discover,
or 4 digits on the front for American Express)
Comments:
(Please indicate billing address,
if different from mailing address)

Shipping & Handling:$19.95-$29: $9.95$30-$49: $9.95$50-$69: $9.95
 $70-$89: $10.95$90-$109: $10.95$110-$129: $11.95
 $130-$149: $12.95$150-$169: $13.95    $170-$189: $14.95   
$190-$209: $15.95         $210-$229: $16.95    $230-$249: $17.95   
 $250-$299: $18.95    $300-$399: $19.95    $400-$499: $21.95   
 $500-$599: $23.95    $600-$699: $25.95    $700-$799: $27.95   
 $800-$899: $29.95    $900-$999: $31.95    $1000 and up: $33.95   

    Effective February 1, 2015: The minimum order will be $19.95, with $1.95 minimum line pricing.
  • Shipments outside the continental US can be sent by US Air Mail or UPS – Shipping is $5 plus postage.
  • Note: 1st, 2nd, & 3rd day and Saturday delivery FEDEX & UPS is available at extra charge.

 

Thank you for ordering
from the Totally Stainless catalog!
We'll return you to our home page
after submitting this form.