ORDER FORM
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PART DESCRIPTION
COST
1979 Grill
$75 + shipping
9.50R16.5LT Kumho Venture/Courser Traction RLT Tires
$200.00 + shipping
Drivers side Door
$45.00 + shipping
Passengers side Door
$45.00 + shipping
Select method of payment:
Check/money order
Pay Pal
If paying by check or money
order please fill out this form
and print out this page and
include with your order also
submit this form checking the
box above. Please do not
send until order conformation,
since we only have one of the
fiberglass parts.
Conformation will be sent via
e-mail with an address to mail
payment to.


UNCLE BOB'S MOPAR FARMS
Specializing in Dodge Trucks
412-795-7897