Oregon Motorcycle Parts Mail Order Form
Part #
Description
Price
Quantity
Total
         
 
 
 
   
 
 
 
   
 
 
 
   
   
 
   
         
 
 
 
   
Shipping


$7.25 for orders shipped to anywhere in the USA up to $75
and $12.50 for orders over $75

Shipping to Canada is $25.00 and $35.00 for shipping to outside of
North America.  Orders over $75 shipped outside of North America
require insurance and this increases the shipping cost to $60.00
     
Total
   
Shipping Information
(The shipping info can be filled in before printing)
Name
Street address
City
State
ZIP code
eMail address
Country (if outside USA)
Use your browser print function to print this page.  Fill it out and mail it along with
a cashiers check or money order  to:

Anthony Weeks
150 SW Hill Dr.
POB 529
Willamina, Oregon 97396

Cashiers checks and money orders must be made out to Anthony Weeks