Oakos Automotive Order Form

Shipping Information*
Name  
Street Address  
City  

State

  

Zip

  
Phone  

E-mail

  

Billing Information

Check/Money Order 

Name On Card

  

Visa 

Card Number

  

Master Card 

Exp. Date (mm/yy)

  

American Express 

    

Products
Product Code Description Price Qty Total
         
         
         
         
         
         
         
         
         
         
         
         
         

Subtotal

  

Sales Tax 6% (Michigan Residents Only)

 

Shipping**

  

Total

  

* Credit card orders can only be shipped to the billing address of the credit card.
** Shipping costs can be calculated using the shopping cart, add the item(s) to the basket & proceed
 to "Checkout", input shipping info & click continue to see shipping options and prices.

Order Info  |  Main Page