ORDER FORM
DE FARMALL CUBS
ORDER FORM
SHIPPING INFORMATION
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FIRST NAME
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LAST NAME
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ADDRESS 1
ADDRESS 2
ZIP CODE
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CITY
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R
TEL.
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EMAIL
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EMAIL ADDRESS MUST BE CORRECT
PLEASE INCLUDE AREA CODE  
TELEPHONE NUMBER REQUIRED ON
ORDERS PAID WITH CREDIT CARDS
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R
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QTY
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NAME OF PART
PRICE
ITEM NUMBER
SHIPPING METHOD
PLEASE SELECT YOUR SHIPPING PREFERENCE
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USPS PRIORITY
UPS GROUND
BEST WAY - WHATEVER IS LEAST              
            EXPENSIVE FOR PACKAGE WEIGHT
USPS PARCEL POST
PAYMENT
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PAYPAL-
(DUE WITHIN 2 DAYS)
AN INVOICE WILL BE SENT THRU PAYPAL
(DUE WITHIN 10 DAYS)
MONEY ORDER
CREDIT/DEBIT CARD* - VISA, MASTERCARD, DISCOVER
We will call for your credit card information.
TAX EXEMPT - CHECK BOX IF TAX EXEMPT & FORM IS ON FILE WITH US.
I HAVE ORDERED BEFORE, PLEASE USE CARD ON FILE
* BEST TIME FOR US TO CALL
DAYTIME
EVENING
ANYTIME
8:00 - 5:00 PM               AFTER 6:00 PM
CLICK ONCE
WE ARE NOT ACCEPTING ORDERS OUTSIDE THE UNITED STATES AT THIS TIME.
WE PREFER THAT YOU USE THE FORM BELOW FOR ORDERING.
IF PHONING IN YOUR ORDER WORKS BEST FOR YOU,  WE WILL TAKE YOUR
INFORMATION AND CALL YOU BACK WITH A TOTAL AND COLLECT YOUR PAYMENT
INFORMATION.

TO ORDER: WRITE DOWN THE QUANTITY, DE NUMBER, A BRIEF DESCRIPTION & PRICE OF THE PARTS YOU
WANT & ENTER THEM IN THE FORM BELOW.  FILL OUT THE SHIPPING & PAYMENT INFORMATION & SUBMIT.  
Once we receive your order, we combine, weigh, calculate your shipping, and send an invoice  showing
your total.  
Personal information entered on this form and credit card information is stored on
Paypal's secure server for future orders only.  

To avoid "undelivered" invoices, please add   teresa@defarmallcubs.com  to your approved
contact email list.

ITEMS OR SECTIONS MARKED WITH A   
 R     ARE REQUIRED.
PAYMENT BY MONEY ORDER MUST
BE SENT TO:

DE FARMALL CUBS
2775 LINCOLN ST.
VIDOR, TX 77662

ATTENTION
We are closed on  
Sunday

Orders placed on
Sunday will be
handled the
following day.
Thank you.

~ Teresa

PRIVACY POLICY

Our customers privacy is
very important to us.

DE FARMALL CUBS does
not rent, sell, or share
personal information
about you with other
people or companies.  
The information you
provide on the order
form is only used to fill
your order.