For your convenience please use this form to eMail us,
order items (see note below), or submit information/questions/comments.

You will recieve a confirmation eMail concerning availibilty,
pricing, payment & shipping information after the form has been read
and processed from one of our personnel.

*NOTE* This form is a convenient way to send us information,
and for ordering items, however, we do not accept payment
from this form electronically.

*NOTE* We do not accept American Express credit cards.

Please do not send sensitive information on this form,
(Credit Card numbers, etc...)

Any NEW customer will receive 10% OFF their 1st order
when they enter coupon code "NEW" in order form.

ONLINE ONLY

	Prather Cue Parts
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INFORMATION QUESTIONS COMMENTS
COMPANY
NAME
ADDRESS
CITY
STATE
ZIP CODE
COUNTRY
SHIPPING	US Priority Mail US 1st Class Mail UPS Ground UPS 3 Day Select UPS 2 Day Air UPS Next Day Air UPS Saturday Delivery
PAYMENT	*We will contact you for payment information details* COD Visa Master Card Discover Upon Reciept PayPal Net 10 Pre Pay
PHONE
FAX
COUPON CODE
eMAIL	*eMail address is required for contact info*