MCW Automotive Finishes, P.O. Box 0518, Burlington, NC 27216-0518

Please Print this form and Mail or fax (336-228-0240)

Revised 8/11 Date:      
ORDER RESIN ITEMS ON THIS FORM
Note:
    Check, Money Order, MC or Visa only.
    Allow 2-3 weeks for delivery. A new
    order form will be sent with each order.
No phone, COD, or PayPal orders. 		Name:_______________________________________________

Address:_____________________________________________
                           
City:______________________________State:_____________

Zip:  _____________________Phone:_____________________
 Qty  Part No  Description                                                                                  Price ea          Total        

 NO PAINT ON THIS FORM - ORDER PAINT ON SEPARATE ORDER FORM, NOT SHIPPED TOGETHER!
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
                                                                                                    Total  $________

Shipping & Handling (except Foreign *)
U.S. Mail only:  
Parts & Decals only (no kits)  $9.00
1-2  Kits  $11.00                        3-4  Kits  $13.00
5-6 Kits  $15.00                       7 + Kits  $17.00
* Foreign must be on credit card - Sent US Express
Air Mail (postage calculated at Post Office). 
(Includes Alaska, Hawaii, and PR)

Shipping & Handling  $______________________*
  (Foreign postage + $5.00 handling - see footnote at left)
Subtotal  $______________________________
                          (NC include S&H in sales tax)
7.75% Sales Tax  $________   __________________ 
   (NC residents only)                   (Name of NC county)
Total Enclosed  $_____________________________
                          No phone orders.
 Charge to : [ ] Mastercard [ ] Visa Card # __________________________________________ Exp. date __________

 Signature _________________________________________________ Daytime phone _______________________

 Your billing address________________________________ City ___________________ State ____ Zip _______
                  
               (Sorry, NO paint orders outside United States)                                                Thank you for your order!

 

 

 

 

  

  

 

 

 

  

Thanks to all modelers for your support!

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