Your Full Name:			Day Phone:
Business (optional):			Cell Phone (optional):
Street Address:			Fax (optional):
PO Box (optional):			Valid Email:
City:			Notes (optional):
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(SKU) Item Number	Product Description	Quantity	Price/ea.	Total

Shop site for pricing/details... Fax Order (Credit Card Orders only) 315.789.6963 (or) Mail this Order along with your payment to: Go Karts "R" us attn: Online Sales Dept. 115 N. Exchange St. Geneva, NY 14456-1275 Email: KartMail :at: gokartsRus.com Phone or Fax : (315) 789-6963 *Please allow an additional 7-10 business days for clearance time for personal checks. If there is a question about this order we will email you. Sorry No Cod's.	ORDER SUBTOTAL:	$
	Order Sub-Total Shipping } SHIPPING: $01 - $10 $12.00 $10 - $20 $10.00 $20 - $40 $ 9.00 $40 - $60 $ 8.00 $60 - $80 $ 7.00 $80 - $100 $ 6.00 $100 - $120 $ 5.00 $120 - $140 $ 4.00 $140 - $160 $ 3.00 $160 - $180 $ 2.00 $180 - $200 $ 1.00 $200 & up FREE	$
	NY State Residents Only! Add ____% Sales Tax (Please indicate county or city____________________)	$
	ORDER TOTAL:	$

Payment Info (Check Correct Box) Personal Check* Cashier's Check / Money Order Debit Card VISA Master Card Discover Card Info (If paying by Card only) All Credit Card and Billing/Shipping is thoroughly checked for fraudulent info. We will prosecute any fraudulent sales submissions to the fullest extent of the law. Name on Card (print): Signature (must sign): Full Billing Address of Card (if different from top of form):