Klempfs British Parts - Parts Order Form

Hours:
Monday thru Friday 9:00 AM to 6:00 PM, Central Time
Most Saturdays 10:00 AM to 2:00 PM;
Closed Sundays and Holidays.

FAX: 507-374-2094
Email: mitch@klempfs.com

Fields marked with an * are required.

Name: *
Street: *
City: *
State: *
Zip: *
Day Phone:
Night Phone:
Email: *
Make of Bike:
Model:
Year:

Please send me a: Catalog/Price List.
Catalogs/Price Lists are sent Priority Mail. You will
be charged a $4.00 mailing charge (No COD's).
Catalogs/Price Lists are sent free of charge
with your order of $25.00 or more.
.

Method of Payment

Visa	Master Card
Discover	COD
AMEX	Money Order/Bank Check

Acct. #:
Exp. Date:
3 or 4 digit PIN:	(CVV2 number) printed on the back of the card
Name on Card:
.

Note: All information submitted using this form, including your credit card number, will be sent over a secure SSL connection. If you still do not feel safe sending us your information online, you may opt to telephone us or use our handy Printable Order Form and mail or fax your order to us. The choice is yours.

Parts you would like to order (please include quantity, item and part number if known):

QUANTITY PART NUMBER DESCRIPTION

PRICE EACH

For Cash in Advance Orders:
Up to $19.99 - Add $8.00 *
$20.00 to $74.99 - Add $10
$75.00 to $299.99 - Add $12
Over $300.00 Freight Free (US 48 States Only)
Oversized packages, additional handling packages and hazardous packages do not qualify for free freight. Examples are: frames, motors, tires, etc:

UPS requires a money order for COD shipments.
* Orders $25.00 or less subject to $7.00 service charge

FREIGHT $
TOTAL $

How did you find us?

If through a magazine, which one?

Questions/Comments:

Note: Although optional, please include your telephone number so we have a quick way to contact you with any questions we may have. We do not sell or otherwise distribute your information.

Business Policy

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	KLEMPFS BRITISH PARTS 61589 210 Ave. Dodge Center, MN. 55927 507-374-2222 Email: mitch@Klempfs.com
	Copyright © 2006 Klempfs British Parts - All Rights Reserved