Carpet Order Form for CARS

Please print this page, fill it out and fax it to 214-216-4001. Or mail, along with your carpet sample to: AutoStyles, Inc. P.O. Box 889 DeSoto, TX 75123. By using this form you can be sure to get the correct carpet for your vehicle. A salesperson will contact you promptly to confirm your order. Please fill out this form completely by putting a check in the appropriate boxes. Thank You.

 FREE SHIPPING  inside the Continental U.S. We DO NOT Export. Thank You.

Our web address www.autostyles.com

Name
Street Address
City                                                                 State               Zip or Postal Code
Daytime Phone
Email Address..............................................................@...................................................................

Vehicle Year Make Model Part Number from Web Site
     

ACS._ _ _ _ _ _ _-Color #

Matching Floor Mats (Circle 1) Front Only Set of 2 $35.00 4 Piece Set $45.00 No Floor Mats   /   Floor Mats Only
Passenger Section Only Full Set Cargo Area Only
Coupe Convertible Fastback Hard Top Hatchback Sedan Station Wagon
2 Door 3 Door 4 Door
Column Shift Floor Shift Automatic 3 Speed 4 Speed 5 Speed
With Console Without Console Front Wheel Drive Rear Wheel Drive
Standard Seats Power Seats Bench Seat Bucket Seats

Carpet Type

500 Loop 600 Nylon Loop Cutpile Molded Black Vinyl

Color # :......................Color Name :...................................(Not Necessary if Mailing Sample)


Payment Method

Visa Master Card American Express Discover Card Check Money Order

Name of Card Holder......................................................................................

Account Number...........................................................................Expiration Date............/........../..........

Billing Address (if different from above address)

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