Order Form
Please use this form to submit your order to Harbor Vintage Motor Co., Inc. You can fill out this form online then print this form and fax your completed order to Harbor Vintage Motor Co., Inc. at  (802) 434 - 5635, 24 Hours a day, or call us with your order at  (802) 434 - 4040 during our normal business hours.
Please read our ordering instructions thoroughly before submitting your order.
Name
Company Name
Billing Address
City
State
Zip Code Country
Phone Fax
Email
Card Number
    _  _  _  _ - _  _  _  _ - _  _  _  _ - _  _  _  _

   Card Type Visa M/C

   Expiration Date
Item Number Description Qty Price Each
Total Dollars
VT Residents Add Sales Tax
Total Order

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