Steve`s Cycle Salvage Secure Parts Order Form

Steve`s Cycle Salvage Secure Parts Order Form

Customer E-Mail
Important: Enter a valid e-mail address. Receipts will be sent to this address.
*E-Mail:
*QUOTE NUMBER
*Parts Requested
Billing Information
*First Name:						Same name as on your card
Middle Initial:
*Last Name:
*Address Line 1:						Where your statement is mailed
Address Line 2:						Apt. or Suite No.
*City:
*State:		Choose a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
*Zip Code:
*Phone:
Shipping Information
Same As Billing Info
First Name:
Middle Initial:
Last Name:
Address Line 1:
Address Line 2:
City:
State:		Choose a StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip Code:
Credit/Debit Card Information
*Card Number:						No dashes or spaces please
*Expiration Month:		MonthJanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember				From your card
*Expiration Year:		Year20042005200620072008200920102011201220132014201520162017201820192020				From your card
*Card Brand:		Choose a CardAmerican ExpressDiscoverMaster CardVisa
*CVV2:						Card Security Code
TERMS OF SALE: The Recipient of this merchandise hereby releases and holds harmless the seller from any and all loss, damages, lawsuits, labor claims, personal injuries, or action caused by any and all defects in the merchandise, and further waives any claim of whatever kind, and nature he or she may have against the seller. All sales will be assesed a Credit card handling fee of 3.5% of total sale for the costs of shipping supplies and credit fees charged to us the merchant. All parts are sold in good faith that they are good condition. All merchandise is sold AS IS, however if defective we will REPLACE for you. All Returns must be made within 3 business days of receipt. NO RETURNS on ELECTRICAL PARTS without warranty. Qualifying RETURNS are subject to a 35% restocking fee. NO REFUNDS unless part/parts cannot be replaced. ALL RETURNS must have copy of invoice and prior notification of RETURN. ABSOLUTELY NO RETURNS OR REFUNDS ON SPECIAL ORDER NON STOCK ITEMS. DEPOSITS are NON refundable. Shipping costs are NON refundable. By submitting this form you hereby agree to all these terms.
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