ORDER FORM / FAX FORM (Fax orders get priority)
Competition Distributing Co. 2106 Lazelle St. Sturgis, SD 57785
Print This Page, Fill In Your Order, And FAX It To: (605) 720-1929
Name:_________________________________
Address:_______________________________
City:______________State:________________
Country:______________Zip Code:________
Phone:________________________________
FAX:__________________________________
E-Mail:_________________________________

FAX Or Phone In Card Info
Pmt: Visa M/C Discover PayPal Card #:_________________________________________________ Expires:______________________ CVV Code*:___________
Make:_____________________________________________
Year / Model:______________________________________
Motor ID:__________________________________________

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* Note: CVV code is the 3-digit security code on the back of the credite card.