E-Mail Address: This must be filled in.
First Name:
Last Name:
Company Name (if applicable):
Address:
City:
State/Province:
Zip/Postal Code:
Daytime Phone#:
US Social Security # (for US Customs):
Have you ever bought from us before?
  Yes
  No
What magazine(s) did you see us advertised in:
  Stock Car Racing   Speedway Illustrated
  Circle Track   Found CSC on the Internet
Other:
Are you involved in oval track?
  Yes
Are you involved in road racing?
  Yes
Other:
Your Age for our statistics:
SHIPPING INFORMATION:
This must be a business address. If you don't have a business to deliver it to CALL US! we'll ship it to the local Terminal and save you the extra $83. Residential charge.
Shipping Information is the same as above.NoYes
If YES scroll down to Payment
Ship to:
Company Name:
Address:
City:
State/Province:
Zip/Postal Code:
Business Phone #:
Contact Person:
Payment:
Type Of Payment
Name on Credit Card
Card Number
The 3 digits at the end of the signature strip on the back of your card:
Date Card Expires (mm/yyyy)
I would prefer to call CSC Racing Products before 11:00 EST to give you my credit card information.
  Yes
ORDER INFORMATION:
Let us know anything that you think we might need to know.
Better that we have too much information than not enough!
COMMENTS
If your order includes a cage kit please give us:
Year of Body:
Style of Body:
ie. Year of Body: 86 Style of Body: Monte Carlo
FREIGHT WILL BE ADDED BASED ON WEIGHT AND DESTINATION AND CHARGED TO YOUR CREDIT CARD. TAXES WILL BE ADDED WHERE APPLICABLE.
You can fill out the above form, print it and fax it to us at 1-800-519-RACE.
We will confirm receipt of your order by e-mail on the next business day. Please be sure to include an e-mail address. We will tell you when your order will ship and with who. We will tell you the total that has been charged to your credit card including freight.
If you don't hear from us please call us at 1-888-489-3880 to confirm that your order was received.
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