CATALOG ORDER FORM

Mail Completed Form To:

AmericanMuscle

600 Cedar Hollow Rd.

Paoli, PA 19301

Phone: 866-727-1266

(Check if same as Ship To)

(If Applicable)

SHIP TO ADDRESS:

PAYING BY CREDIT CARD:

BILL TO ADDRESS:

Name:

Address 1:

Address 2:

City: State: Zip:

Phone:

Email Address:

If paying by credit card, please call a representative

at 866-727-1266 when ready to order!

Name:

Address 1:

Address 2:

City: State: Zip:

Phone:

Email Address:

Phone-In Customer Service Quote#:

Customer Service Rep’s Name:

Vehicle Information:

Year: Make: Model:

ITEM # ITEM NAME QUANTITY UNIT PRICE LINE TOTAL

(6% Sales Tax must be entered for orders shipping to PA)

Payment by Personal Check or Money Order should be made out to

AmericanMuscle.com. If payment is made by Personal or Business Check,

there will be a 10 business day waiting period for the check to clear before

product is shipped out. *AmericanMuscle offers FREE, SAME DAY SHIPPING

on orders over $49 when you place your order by 5PM EST on any business

day. We ship via UPS Ground or USPS to all locations in the Continental 48

States regardless of weight or size. Visit us online for complete details.

Sales Tax (PA Only):

Grand Total:

ON ORDERS OVER

Please note: Prices may change without notice. We make every effort to include

accurate info, but won’t be held liable for any inaccuracy in pricing, description or

application. For the most up-to-date product selection and pricing, visit