MAIL / FAX
ORDER FORM

TRUCK STUFF USA
3305 Estes Park Lane
McKinney, Texas 75070
(512) 287-4339 Fax
www.truckstuffusa.com

Bill To: Ship To:

Name:	.	Name:	.
Address:	.	Address:	.
	.		.
City, State ZIP:	.	City, State ZIP:	.
e-mail:	.	e-mail:	.
Phone:	( )	Phone:	( )

Order:

Item #	Item Description (include color, options, etc.)	Manufacturer	Qty.	Price	Extended
.	.	.	.	$	$
.	.	.	.	.	.
.	.	.	.	.	.
.	.	.	.	.	.
				Shipping	FREE
				Total	$

Vehicle Description:
(Note: please indicate any unique factory features about your vehicle that would apply to the
products you ordered…e.g. Super Duty, Ext Cab, etc. This will help insure you get the right product.

Year:	.	Bed Size:	.
Make (i.e., Ford):	.	Cab Size:	.
Model (i.e., Dakota):	.	Other:	.

Payment Info:
WE DO NOT ACCEPT PERSONAL CHECKS OR CASH

----------------------------------------------------- Card Number ---------------------------------------------------

Exp

Credit Card V-Code:

For your security, and for credit card fraud prevention, we require the V-Code on your credit card. This number is separate from your regular card number and only appears on your card. Visa, MasterCard, and Discover card holders should flip your card over. You will see your 16 digit card number followed by another 3 digits. This is your V-Code. American Express card holders will find their V-Code as 4 digits just above the card number.

_______________________________________________
Signature of Cardholder…must match "Bill To" name above.

I authorize Truck Stuff USA to charge the credit card number indicated above for the total above. I certify that the credit card number and signature above agree to the "Bill To" name above and that, as such, I am an authorized signer on this card.