Fax Order


EURO AUTO SHOP
Gosepfad 9
21037 Hamburg
Germany
Fon: +49 40 723 18 75
Fax: +49 40 723 10 02
http://www.euroautoshop.com
Name:  
Street:  
City:  
Post Code:   Phone:  
Country:   Fax:  
Ship by:

Air Express

Post Surface

Post Air

UPS Ground
Credit Card Number:
Expiration Date:
Issued Card:
Payment:

Master Card

Visa

Bank Check

Money Order

     
Please fill out completely for all orders Description:
Make:
Model:
Year:
Body:
Serial Number:
Doors:
Engine:
Engine Number:
Fuel: Gas Diesel
Carb Inject.
Turbo Charger
Power  Steering:
Yes No
Trans: Autom Stand.
Speed:
Wheel Drive:
All Front Rear

         

Signature:____________________________                      Date:______________

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