OTHER
INFORMATION: (please provide as much information
about your jetting,
gearing, and aftermarket add ons - such as pipes,
silencers, reed cages etc.)
PAYMENT METHOD:
On receipt of your cylinder or parts we will send you a proforma invoice. We accept payment by Visa (by phone or email) or by cheque (4 day clearance).
I
would like to pay with: (please check one)
VISA
(Please
enter your card
details and sign below)
CHEQUE
Cardholder's
Name:
Card
Number:
Expiration
Date:
3-Digit Security Code:
I authorize Aptec Ltd. to charge for
services received:
Cardholders Signature:
Please remove below
label and adhere to box when shipping (cover with
clear tape)
