Low-Riders.Com FROM: (print clearly) Print Out Form

Name ____________________________
Address__________________
City____________________
State_________ Zip__________
Phone (___)________________
E-mail Address
______________

Low-Riders.com
6737 Aralia Ave
St. Leonard, MD 20685


Quantity Item Description Cost
       
       
       
       
       
       
       
       
       
       
       
      Subtotal  
      Shipping & Handling  
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CHECK

MONEY ORDER

 
All credit card orders must be processed via the internet.  We can no longer accept credit cards thru the mail !! 

All mail in orders must be accompanied by payment !

No COD's.

Money Order or Cashiers checks accepted.  No personal checks.

Shipping Charges :

Please use our online
shopping cart system to
calculate shipping charges.

Thank You for your business !

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