Hi performance moped parts order form

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Order Form

Print and send with order

First Name:	Last Name:
Address #1:
City:	State: Zip:
Country:
email:
Make:
Model:	Year:

part description #:		Amount: $	Quantity:
part description #:		Amount: $	Quantity:
part description #:		Amount: $	Quantity:
part description #:		Amount: $	Quantity:
part description #:		Amount: $	Quantity:
part description #:		Amount: $	Quantity:
part description #:		Amount: $	Quantity:
		Shipping:$
		Total:$
Shipping Carrier:	US Mail UPS Other
	To get shipping cost go to Shipping info

 Mail Order To:
S. Saito
3327 Hoolulu St. 
Honolulu, Hi 96815

*Check or **Money Order Payable To: S. Saito All Amounts Are in US Dollars *Note: Checks take up to 12 days to clear, checks must clear before parts are shipped out. **Note: Money orders will be shipped within 48 hrs of when it is recieved.