7273 Montgomery Lane
Victor, New York 14564
tel. 585-737-3482
BUYER NAME __________________________________ SHIPPING INFORMATION
ADDRESS __________________________________ ________________________
CITY/STATE/ZIP _________________________________ ________________________
HOME PHONE ___________________________________ ________________________
BUSINESS PHONE ________________________________ ________________________
ITEM# DESCRIPTION COST
1
2
3
4
5
6
7
8
9
10
TOTAL
NYS SALES TAX
SHIPPING
LESS DEPOSIT
BALANCE DUE, PRIOR TO SHIPMENT
TERMS:
PRICES DO NOT INCLUDE TAXES, IF APPLICABLE.
ALL PRICES F.O.B. VICTOR, NEW YORK.
SPECIFICATIONS AND PRICING SUBJECT TO CHANGE WITHOUT PRIOR NOTICE.
LICENSING IS THE RESPONSIBILITY OF THE BUYER.
BUYER AGREES FULL LIABILITY FOR CONSTRUCTION, MAINTENANCE, AND OPERATION OF HIS/HER AUTOMOBILE.
BUYER AGREES TO NOT REPLICATE OR COPY ANY ITEMS INCLUDED IN THE PACKAGE OR OPTIONAL ITEMS.
ALL RETURNS WILL BE SUBJECT TO A 25% RESTOCKING FEE. PRIOR WRITTEN PERMISSION FOR RETURN MUST BE SUBMITTED
TO "R" Motor Sport, Ltd. AND AUTHORIZED BEFORE RETURN OF ITEMS. SHIPMENT OF RETURN GOODS MUST BE PREPAID OR
THEY WILL NOT BE ACCEPTED. NO RETURNS AFTER 90 DAYS.
I HAVE READ THE TERMS APPLICABLE TO THIS ORDER AND AGREE TO SAID TERMS AS STATED.
SIGNED (buyer) DATE
ORDER ACCEPTED BY (seller) DATE
 | |  | |  | |  | |  | |  | |  | |  | |  | |  |