To order your mirror(s), please print this page and fill out the necessary ordering information.

Please send me _____________ mirrors at $31.95 each plus $4.95 shipping and handling per mirror.



Name _____________________________________

Address____________________________________

City___________________ State_____ Zip________


Number of units ordered _________________
Subtotal _________________
Plus $4.95 shiping _________________


Please send check or money order to:

American Automotive Research Center, Inc.
1450 Havana St., Suite 312
Aurora, CO 80012
USA

Phone: (303) 751-1554
Fax: (303) 751-7573