Canadian Pricing / Order Form
April 2009
Name:    Phone:
Ship To Address:  
City:   Province:
Postal Code:  Vehicle Year:  
Make:   Model:  
MODEL
PRICE/PAIR
QUANTITY
TOTAL
VF 1
$ 158.00
  
$
VF 2
$ 158.00
 
$
INDY
$ 158.00
 
$
VF4
$ 176.00
   $
LED - VF2
$ 218.00
 
$
LED - VF1
$ 218.00
   $
LED - VF4 (special order)
$ 276.00
   $

Sub Total:
  
Shipping / Handling (per pair) * add $14.00:
  
GST (5%) :
  
PST (Ontario Resident) (8%):
  
TOTAL:
  

Payment Terms: Visa MasterCard Money Order

Card Number:   Expiry Date:
Card Holder Name:   Signature:  
RETURNS:
All sales are final and merchandise may only be returned with the consent of Vision Hot Rod Concepts. Approved returns are subject to a restocking charge of 15%. All goods approved for return must be shipped prepaid. Products that have been used or altered in any way cannot be returned. No returns after 60 days. Please call 519-742-9800 to get a return goods authorization number and shipping instructions before returning products.

THANK YOU FOR YOUR ORDER
Please Fax it to Us at: (519) 742-9800
Should you require further information, please call
21 Cumberland Place, Kitchener, ON N2N 2V9 Canada
Tel / Fax (519) 742-9800

MAIL: www.visionhotrod.com/

PRICES and SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE