Order Form

Want to order by Fax or via mail?
Click here for our Print & Fax version of this Order Form.

PLEASE SHIP TO:

Name:
Address:
City:    Province:     PC: 
Phone:
Email:

Vehicle Information:

Make:  
Model: 
Year: 
2 Door 4 Door
FWD RWD

PAYMENT INFORMATION:

Name on Card:
Card Type:
Card Number:
Exp (mm/yy):

Part Number Qty Description Price Each Total

Check on Dollar Conversion!
Currency
Converter
Subtotal
Shipping & Handling
10% ($12.00 Min)
Oversized Charge
$9.00
GST 5%
PST where applicable 7%
HST where applicable 15%
TOTAL




  

Thank you for your order, you will receive confirmation within 24 hours.

Call: (250)727-2678   Or   Fax: (250)727-2693
Mail to:Weatherstrip Connection
2101 Henry Avenue West, Sindey BC, Canada, V8L 4L9

Credit Cards Accepted