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Please fill out the following information and mail to:

Jerry's Classic Cars & Parts--4094 McRay Avenue -- Springdale, Arkansas 72764

or FAX order to: 479-750-1682

Please provide the following contact information:
*Fields that must be filled out to receive a reply.

*Name
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
*Work Phone
Home Phone
FAX
E-mail
*How do you prefer
we contact you:

Please provide the following product information: (part numbers can be cut and pasted into below fields.)

 Part Number
 Part Number
 Part Number
 Part Number
 Part Number
 Part Number
 Part Number
Part Number
 Part Number
 Part Number
 Part Number
Year Model
Make
  BILLING

IMPORTANT: The above address must be your credit card billing address. Please review and make changes in the above fields.
 
Card type: American Express   MasterCard   Discover   Visa
Credit Card Number:  

 

(NO SPACES OR DASHES i.e. 1234567891234567)
Expiration  Date: (ex: 05/03)
If COD is preferred check here:

 

If different than above SHIPPING
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

     


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Customer Service (479) 750-1682 ~ Fax (479) 750-1682

Orders Only 1-800-828-4584
E-Mail jerrysclassiccar@aol.com

Office Hours (Central Time)
8:00AM - 5:00PM Monday - Friday

Prices subject to change without notice.

ALL MAJOR CREDIT CARDS ACCEPTED

JMillerFord_logo_eps_include.jpg (5245 bytes)
JERRY'S CLASSIC CARS
& PARTS, Inc.

Mailing & UPS Address:
Jerry's Classic Cars & Parts, Inc.
4094 McRay Avenue
Springdale, AR 72764

Last revised: August 05, 2004