ATTS Truck & Trailer Accessory Experts and so much more....

***CUSTOMERBILLING INFORMATION***
First, MI, & Last Name:	1st Street Address:	2nd Street Address:

City:	State:	Zipcode:

Phone:	Fax:	Email:

Company Name:	Account Number:	Web Site or Home Page URL:

CUSTOMERBILLING INFORMATION

First, MI, & Last Name:

1st Street Address:

2nd Street Address:

City:

State:

Zipcode:

Phone:

Fax:

Email:

Company Name:

Account Number:

Web Site or Home Page URL:

***SHIPPING INFORMATION - If Different***
First, MI, & Last Name:	1st Street Address:	2nd Street Address:

City:	State:	Zipcode:

Phone:	Fax:	Email:

SHIPPING INFORMATION - If Different

First, MI, & Last Name:

1st Street Address:

2nd Street Address:

City:

State:

Zipcode:

Phone:

Fax:

Email:

ITEMS BEING PURCHASED

QTY

Part No.

Description

Weight

$ Each

$ Total

ATTS PACKING FEE: This chart applies to items that can be shipped via standard UPS only. Customer agrees to pay actual UPS shipping charges. Note: 2nd Day Air and Next Day Services are availabe for an extra fee!

FOR ORDERS TOTALING

Please Include:

$0.01 up to $15.00:

$6.00

$15.01 up to $40.00:

$8.00

$40.01 up to $70.00:

$10.00

$70.01 up to $110.00:

$12.00

$110.01 up to $150.00:

$14.00

$150.01 up to $300.00:

$16.00

$300.01 AND UP:

Please Call

**ORDER TOTAL CHART:**
Merchandise Subtotal:	$_______________

4.5% Sales Tax (VA Only):	$_______________

ATTS Packing Fee:	$_______________

UPS Shipping Cost:	$_______________
Grand Total:	$_______________

***PAYMENT INFORMATION***
Payment Method: Please Enclose Your Personal Check, Money Order, or Credit Card Information:	Alt. Payment Method: Bill Account, UPS COD.
CHK or MO Number:	When Billing Account, charge my account and bill me. I'll remit in 10 days.
M.C. #:	New Accounts -------Please Call.
VISA #:	COD - Please Contact UPS For Payment Option
DISC. #:	UPS COD:
AMEX #:	Bill Account:
Expiration Date:	Note-3: Allow 2-4 weeks for delivery of non-stock items.
Note-1: Card will not be charged unless item is shipped.	Note-4: Items in stock will normally ship within 48 hours.
Note-2: Prices are subject to change without notice, please confirm by phone.	Note-5: Shipping is subject to change without notice.
Customer Signature:	*Thank You for your patronage.*

PAYMENT INFORMATION

Payment Method: Please Enclose Your Personal Check, Money Order, or Credit Card Information:

Alt. Payment Method: Bill Account, UPS COD.

CHK or MO Number:

When Billing Account, charge my account and bill me. I'll remit in 10 days.

M.C. #:

New Accounts -------Please Call.

VISA #:

COD - Please Contact UPS For Payment Option

DISC. #:

UPS COD:

AMEX #:

Bill Account:

Expiration Date:

Note-3: Allow 2-4 weeks for delivery of non-stock items.

Note-1: Card will not be charged unless item is shipped.

Note-4: Items in stock will normally ship within 48 hours.

Note-2: Prices are subject to change without notice, please confirm by phone.

Note-5: Shipping is subject to change without notice.

Customer Signature:

Thank You for your patronage.

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