ORDER FORM

Use this form in one of a few ways

1. Fill this form out and phone your order in to Starwest Inc.   1-805-531-1000
2. Fill this form out and fax in your order to Starwest Inc.   1-805-531-1100

3. Or mail in your order to:

    Starwest Inc.
    5231 Maureen Lane.
    Moorpark, CA 93021

    Enclose a check or money order payable to Starwest Inc.     US Currency Only!!

Order Our Products Here

Use this form in one of two ways:

 

  1. Fill it out and print it. Then phone in your order, Fax it to us, or mail it to us. Go To this page for the form that can be printed on your computer's printer, with details on phoning, faxing or mailing your order in to us.
  2. Fill out the form below completely and submit via our Secure Server. A Secure Server is the safest way to make on-line purchases using your credit card.

Shipping & Handling Costs

Order Amount USA Foreign Surface Foreign Air
Under $10 $5.00 $10.00 $19.00
Under $20 $5.50 $11.00 $21.00
Under $30 $6.50 $12.00 $24.00
Under $40 $7.50 $13.00 $28.00
Under $50 $8.50 $14.00 $32.00
Under $60 $9.50 $16.00 $36.00


DRIVE CHASIS

Quantity Item Amount Quantity

Item

 Amount
F5006 - 250MM RIGHT HAND DRIVE SOFTAIL FRAME - $3425.50   Shipping &
Handling  $120.00		 F5007 - 250MM RIGHT HAND DRIVE RIGID FRAME - $2899.95    Shipping &
Handling  $100.00
F5016 - 230MM SOFTAIL MOLDED CHASSIS - $9600.00    
Shipping & Handling
$150.00		      
        CA Residents add 7% Tax
        S&H (see above chart)
        TOTAL
Payment Method    
Credit Card: Card Number: Exp. Date:
Deliver To      

Name:

Country:

Address:

Phone:

City:

Fax:

State/County:

Email:

Zip:

   

Include country and city codes if outside the US. Please allow 4-6 weeks for delivery