ORDER FORM                      OTP LLC                  

                                                                           1011 CADDO ST 

                                                                          SAN ANGELO, TX 76901

          PHONE   866-643-6329    FAX: Call for number   EMAIL: yugo@yugoparts.com

Your name:_____________________________  Acct#_________ 

Street: ______________________________Please, no P.O. boxes!

City:_____________________ State: ________Zip:________         

Phone: ______________      Fax:_________________

E-MAIL:___________________________

Make of car:___________ Year:_________ Model:_____________

Credit card #_______________________________

Expiration Date:____________ (if ordering by Credit card )           

We do not accept personal checks

QUANTITY

DESCRIPTION (COLOR IF APPLICABLE)

PRICE

TOTAL

       
       
       
       
       
       
       
Subtotal
Shipping
Tax
Total  

Please call for current prices, and shipping charges before sending your money order. as this is based on weight, and delivery time. Texas residents please add 8.25% tax.    You can print this page out, and send it with your order, or fax it. Thank You.