Global Autoshop Order Form

WWW.GLOBALAUTOSHOP.COM

Please choose one of the following options to send your order:
(1) Submit this form online (SSL Secure)
(2) Print out this form and fax it to: (413) 487-4588
(3) Print out this form & mail it to our mailing address

Mailing Address:
Global Autoshop
15902 Halliburton Rd #170
Hacienda Heights, CA 91745
USA

Your order is 100% secured with the latest Secure Socket Layer (SSL), which is the industry standard and among the best software available today for secure commerce transactions. We guarantee that your transaction is safe with us.

Privacy Policy: "We value your privacy. Globalautshop.com will not share, sell, trade, rent, or distribute your personal information to any other companies or organizations."

Please fill all information accurately and completely in order to expedite your order process.

ORDER FORM

Note: required fields are in * / bold.

Shipping Information:

Must be exactly the same as it appears on your credit card billing.

Full Name:

Company:

* (if you are not from a company, please put "individual")

Address:

City, State, Zip:

Telephone:

* ex: 614-000-6789

Fax:

Email:

Vehicle Information

Optional

Make:

Model:

Year:

Other:

Order Information

Part Number	Description (Brand, Application, etc.)	Qty	Price








	Subtotal
	Sales Tax (MI residents ONLY, add 6.00% sales tax)
	Shiping
	Total

Payment Information

Please check for your payment method

Personal Check

MO/Cashier Check

Credit Card

For a security purpose, Global Autoshop can only ship your order to the "SAME" billing address as it apprears on your credit card.

Credit Card Type

Credit Card Number

ex: 5555-6666-7777-8888

Expiration Date

ex: month/year (xx/xx)

Additional Comments:

Please initial
By submitting this order, Global Autoshop assumes that a customer has read and agreed with All Global Autoshop order policies when ordering.

WARNING!! If you are about to commit credit card fraud, BEWARE!! Credit Card Fraud is a felony

For a security purpose, this transaction and your IP address have been logged for security tracking. All information may be turned over to the proper authorities if any attempt is made to place an order using a stolen credit card or knowingly using one that has been deemed invalid by your credit card issuing bank.

WWW.GLOBALAUTOSHOP.COM