Note, this form MUST be mailed in with cash, check or money order payment, no exceptions. If you wnat to use an on-line payment option, please contact us for details: mailto:forum@4Crawler.com Alternatelu, if you want to mail us your credit/debit card details, we can offer a 5% discount. Missing LinkZ Oldskool Discount Mail Order Form Date: Name: Address: City: State/Province: Zip/Postal Code: Country: E-mail: Phone: (optional) Card #: ExpDate: / Sec.Code: Forum: User Name: Vehicle: Make: Model: Year: Qty Part Description Cost/ea. Total (US$) --------------------------------------------------------------------- --------------------------------------------------------------------- Parts Subtotal $ Discount (10%) - Parts Total $ CA Tax (9.0%) $ Shipping: $ --------------------------------------------------------------------- Total: $ Mail discount order for with check or money order (in US funds) to: Visual Diagnostics Attn: Roger Brown, Missing LinkZ PO Box 61092 Sunnyvale, CA. 94088-1092 USA