Print and Mail or Fax Order Form

Ready to order? Just fill out the fields below and print this form to mail or fax to us. Or you can order by phone (800) 761-2005 or by fax 505-899-8164.  We accept cash, checks, wire transfer (U.S. Dollars only), Visa, Mastercard, Discover.

If paying by a method other than credit card, print out the order form, fill it out, and then mail to address at bottom of page with your payment enclosed.

Credit Card Billing Address - Where Your Credit Card company sends your bill:

Your Name
 (Exactly As It Appears On Your Credit Card)
Street Address
City, State, ZIP

Home Phone (w/area code)
Work Phone (w/area code)
          E-Mail Address
Credit Card Type
Credit Card #
Expiration Date
Bank/Institution Card Issued By 
Required Vehicle Information:
Example: 1998 Ford Taurus LX (Year/Make/Model/Submodel)
Year:
Make:
Model:
Sub Model:
Number of Doors:

If no stock number is on the item you wish to order, simply refer to it by name!

Qty Item #
 (If Applicable)		 Item Name Color (if any) Price
Each		 Total
   SUBTOTAL
U.S. Shipping Charges Listed In Parenthesis After The Price of Each Item SHIPPING
   TOTAL
How Did You Hear About chouge.com?
If you found us another way, please tell us how!

Comments/Questions?
Limousine Accessories And Limo Accessories And Limousine Covers and Limo Covers Info