Please print this form and mail in your advertising order. Use your browser's BACK button to return to The Fiero Store.


The Fiero Store SALES FORM
ORDER DESK :
1-800-343-7648 		TECH LINE :
1-860-645-1837
60A Progress Dr.
Manchester, CT 06042

TO ENSURE AN ACCURATE POSTING, PLEASE TYPE OR PRINT CLEARLY


SELLER: BILL TO:
CUSTOMER #: CREDIT CARD ORDERS ONLY
NAME: NAME ON CARD:
  ADDRESS:
ADDRESS: CITY:
CITY: STATE:               ZIP:
STATE:               ZIP: CONTACT PHONE: (               )
PHONE: (               ) ENGINE SIZE:
E-MAIL ADDRESS:
Trans Type: Auto 4spd 5spd


Please COMPLETE the information below to ensure the best possible support for your advertised car or car parts sales! Include upto 3 photos as STANDARD, extra photos $5.00 each.
ASKING PRICE:  
YEAR & MODEL:  
MILEAGE:  
INTERIOR COLOR/MATERIAL:  
EXTERIOR COLOR/TRIM:
* OPTIONS:
(A/C, sunroof, spoiler, stereo, etc)		  
* DESCRIPTION:
(upgrades to the car, current condition, etc)		  
 
 
* Attach additional pages if necessary (maximum 300 characters)


CARD #: Basic Advert Cost $39.95
Expiration Date:         /         /         Extra Photos $
Card Holder Signature   CT Res. add 6% $
Bank Issuing Card   Total Due $


FOR YOUR PROTECTION, WE THOROUGHLY INVESTIGATE THE VALIDITY OF ALL CREDIT CARD ORDERS!
If paying by check please allow extra time for clearance!
Please view the "Terms and Conditions" on the For Sale Page of our Web Site.