NoSpotCarWash.com - Order Form.

Universal Shopping Center Fax/Mail Order Form

Print this form out, complete it, and fax or mail it to us!

Fax Order Number: (850) 653-8064
Mailing Address: 
Universal Shopping Center
P.O. Box 412
Apalachicola, FL 32329

Personal checks are accepted by mail.

Name_________________________________________________________

Address______________________________________________________

City_________________________________ State______ Zip________

Phone #________________________FAX #_________________________

E-Mail______________________________

Credit Card Type (check one):

Visa___ MasterCard___ Discover___ Amex___

Credit Card Number___________________________________________

Expiration Date (mm/yy)__________________

Signature____________________________________________________

Part #             Description              Quantity   Unit
                                            Ordered    Price    

_______   ______________________________     ______    _______

_______   ______________________________     ______    _______

_______   ______________________________     ______    _______

_______   ______________________________     ______    _______

_______   ______________________________     ______    _______

                                            Subtotal   _______

                 Florida Residents, Add 6% Sales Tax   _______

					 Order Total   _______

Your order will ship via UPS (U.S. Mail to HI and AK), usually the next business day after receipt. If your e-mail address is provided, we will e-mail a shipping confirmation with a UPS tracking number.

Questions? E-Mail: sales@nospotcarwash.com.

Thanks for your order!