US Pricing / Order Form
Name:    Phone:
Ship To Address:  
City:   State:
Zip Code:  Vehicle Year:  
Make:   Model:  

MODEL
PRICE/PAIR
QUANTITY
TOTAL
VF 1 mirrors
$ 146.00
  
$
VF 2 mirrors
$ 146.00
 
$
INDY mirrors
$ 146.00
 
$
VF4 mirror
$ 165.00
  $
LED - VF2 mirrors
$ 198.00
 
$
LED - VF1 mirrors
$ 198.00
   $

Sub Total:
  
**Shipping / Handling Cost
$19.00 UPS Ground (5-7 days):
$35.00 UPS Air (3 days) :
  
 TOTAL:
 

Payment Method Visa MasterCard Certified Cashiers Cheque 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

EMAIL: www.visionhotrod.com/

PRICES and SPECIFICATIONS SUBJECT TO CHANGE WITHOUT NOTICE