International Order Form

Before you order:
Please read our Terms of Sale before you place an order.
You can always call us at (330) 776-8279 to place your order or check on the status of a current order. Please let us know you’re calling regarding the web site when speaking with our receptionists so they can properly direct your call.
Please fill out the following form completely so that we can properly process your information. If you have questions, please feel free to e-mail us.
Customer Info
First Name:
Last Name:
Address (Line 1):
Address (Line 2):
City:
State:
Zip (Postal Code) :
Country:
Daytime Phone #:
Evening Phone #:
Email Address (required):


Part Info  
Year Engine/Trans Part Number Qty Brief Part Description

If you need to order more than 8 parts, submit the first 8, reload this page and submit the next 8, and so on.

 

Payment Method
Payment Method :
Credit Card Number:
Expiration Date :
Bank’s Phone Number:
 
Please note: If you are not paying with a Credit Card, select COD Cash Payment type. COD shipments ONLY go via UPS Ground. Certified Checks and Money Orders made payable to Rotary Performance are required for payment. No Personal Checks or Cash.

 

Important Notes on Credit Card Orders
1) The name on the credit card must match name you’ve entered above EXACTLY.
2) The billing address must match the address you’ve entered above EXACTLY.
3) The Bank’s Phone Number is the number on the back of your card. The same number you use to contact the bank with any questions.
4) All credit card orders are shipped SIGNATURE REQUIRED for your protection.

 


Shipping Info  
Ship Via:
Special Instructions:



 

 

 

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