EFP MAIL ORDER FORM

Fill out, print, and mail if this is a mail in order

 SHIPPING  ADDRESS

Name:

Address:

City:

State:

Country:

Phone:

Email:

Zip:

 BILLING ADDRESS

   If different than shipping address

Name:

Address:

City:

State:

Country:

Phone:

Zip:

This form is for mail-in orders. Fill out, print, and mail this form to the address listed below.

You can also submit this order form online by pressing the "Send Order" button, to speed up processing your order. Be sure to notify us by email that you have placed a mail-in order.

SEND ALL ORDERS TO:

EFP / Escort-Focus Performance
P.O. Box 242
S. Vienna, OH
45369-0242

 PAYMENT METHOD (please choose one)

Check

Money Order

 VEHICLE INFORMATION

Year:

Make:

Model

Engine:

Trans:

Check if it applies:

Air Conditioning

Power Steering

Anti-Lock Brakes

Rear Disc Brakes

Click here to go to the Shipping & Handling chart

Use the BACK button on your browser to come back to this form without losing all the information. You can also COPY/PASTE the part numbers into the entry fields below.
                                    
Add any additional Information in the box below.          

 YOUR ORDER

Part No.

Description
Color, Type, Ect.

Quan-
ity

Price Each

Total

EFP logo

"Thank You!"

Sub Total

Ship&Handling
(See Chart)

Grand Total

Note: There are no sales taxes charged on out of state shipments. Your order may come from either of the shipping locations. The shipping charges include insurance.

Check here if this is a mail in order.We will get your order processed and will ship as soon as we receive your check.

Note: We have had problems receiving information using this form. It depends on the exact setup of your browser and/or the ISP you are using. If you need to get the information to us, please verify that we have received it by email. It is also possible to COPY/PASTE the entire form into an email message. This usually works well.

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