MONSTERAutoParts.com Customer Fax / Mail Order Form
(Print form then FAX 989-356-3221 or mail your order)

Name: (Ship to):                                                         Name; (Bill to):

Shipping Address:                                                     Billing Address;

City, State, Zip                                                           City, State, Zip

Phone Number: (day)(_____)                                              (evening)(_____)

e-mail:                                                                       Make / Model;

Item #	Description.	Price Each	Qty	Total Amount

SHIPPING CHARGES  0.00 - 5.99 = 2.50 6.00 -14.99 = 6.95 15.00-25.99 = 7.95 26.00-49.99 = 8.95	50.00 - 99.99 = 9.95 100.00-199.99 = 12.95 200.00-299.99 = 14.95 300.00-999.99 = 15.95	sub total:	$
		Shipping Charges	$
		Order Total	$

METHOD OF PAYMENT: (Please Check One)

[_] Visa      [_] MasterCard   [_] AMEX   [_] Money Order / Cashiers Check

ACCOUNT/Card #_________________________________________EXP. DATE_____/_____

Signature as it appears on card:_________________________________________________________

FAX YOUR credit card order to: 989-356-3221 (you can fax your order 24 / 7 !)
Or, Mail this form with your Money Order / Cashiers Check to:
Monster Auto Parts
3165 Piper Road
ALPENA MI 49707

Your Order will be shipped as soon as payment is received.

If you are not completely satisfied with the products we ask that you please contact us.