AutoStyles, Inc. Convertible Top Order Form

Our FAX # 972-329-9065, Our Toll Free # 1-888-407-9456

Please print this 1 page form, fill it out completely, and either fax it or mail it, along with 
check or money order. Also, please feel free to use this form to pay with a credit card.
Our Postal Address:
AutoStyles, Inc.
PO BOX 850607
Mesquite, TX 75185-0607
If Paying by Check or Money Order, Please Include Shipping & Handling

Please Print

Customer Name_____________________________________________________________
Shipping Address (Street)__________________________________________________
(City)_____________________________(State)______Zip or Postal Code______________
Daytime Phone_______    ________    __________ 8am to 4pm Central Standard Time
FAX _______   _______   ___________
Vehicle Make_________________Model____________________Year________2/3/4 Door
Items Requested
Part #_CTR.___________________Grain_____________Color_______________________________
Part #_CTR.___________________Grain_____________Color_______________________________
Part #_CTR.___________________Grain_____________Color_______________________________
Miscellaneous Parts #________________________________________________________________
Description of Part or Parts___________________________________________________________
Payment Method: Circle One: Check    Money Order   Visa    Master Card    American Express  Discover
If you are in Texas, please add 8.25% sales tax. Thank you.
Name of Card Holder_________________________________________________________________
Card #______________________________________________ Exp Date (month & Year) ____/____
Billing Address:  Street Address________________________________________________________
City____________________________State_______Zip or Postal Code_____________
   Please, we do not ship out of the United States. If you request a product to be shipped
overseas, you must have it delivered inside the continental U.S. and forwarded to you.
Also, if you are not sure of the total charges for your order, please call 1-888-407-9456
to speak to a salesperson. Thank you.
   Upon receipt of this order, you will be contacted by an AutoStyles salesperson to verify
part numbers, shipping information, estimated time of arrival as well as to answer any

other questions you may have. We will not finalize your order until we have spoken to you.

We take pleasure in serving you!