Electric/Gas Vehicle Order Form

Before we will accept any order from you, you first must review thoroughly our Purchase Agreement. Upon full acceptance of our “Purchase Agreement” and “Electric/Gas Vehicle Order Form,” a sales rep will call to verify your order, to make sure you are of legal age to make this order, as well as to explain how your payment will be submitted.  Upon receipt of payment, you will receive a hard copy, via US Mail, for your order as well as an ETA for your order.

We reserve the right to cancel any order in full or in part.

Cancellation will be in written form along with a return of your payment for the order.

NOW THAT YOU HAVE ACCEPTED UNCONDITIONALLY, SIGNED THE “PURCHASE AGREEMENT”, READ “WHAT YOU SHOULD KNOW”, FILLED IN COMPLETELY THE QUESTIONS ASKED OF YOU, SIGNED AND FAXED THIS “ELECTRIC/GAS VEHICLE ORDER FORM” ALONG WITH THE “PURCHASE AGREEMENT” TO (001 - 631) 689-8606, A SALES REPRESENTATIVE WILL BE IN CONTACT WITH YOU BY PHONE AS SOON AS POSSIBLE.

All areas are to be filled in completely before your order will be accepted!

First Name:

Last Name:

Address:

Alternate Address:

City:

State:

Zip:

Email:

Home Phone:

Alternative Phone:

The purchaser understands and states he/she is of legal age to enter into this Purchase Agreement.

Order #1

First Choice of Color

Alternative Choice of Color

Order #2

First Choice of Color

Alternative Choice of Color

Order #3

First Choice of Color

Alternative Choice of Color

Order #4

First Choice of Color

Alternative Choice of Color

Order #5

First Choice of Color

Alternative Choice of Color

Order #6

First Choice of Color

Alternative Choice of Color

Order Confirmation will be a hard copy of an invoice sent by US Mail:

Total Number of Items Ordered?

You have read and agree totally with our  Purchase Agreement (write in YES or NO)?

USE YOUR KEYBOARD TO FILL IN ALL THE AREAS OF THIS ORDER FORM THEN

PRINT THIS PAGE OUT AND FAX IT ALONG WITH YOUR DATED AND SIGNED PURCHASE AGREEMENT TO THE FAX TELEPHONE NUMBER (001-631) -689-8606

You understand that if you fax this Order Form to M. Crispi International, Ltd that,

“All Sales Are Final And Are Not Subject To Cancellation By The Purchaser.”

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