Gasoline Alley Antiques
Orders & Question Form
Name
Email
if paying via Paypal, best to use your Paypal email address. OR make sure you tell us below in the order form
retype Email:
please re-enter your email address AND double check for accuracy, as MANY people enter it incorrectly and we have no way to get in touch
Phone Number PLEASE
international Phone - Important for foreign orders
Delivery Address:
please make sure that this address is the same address on Paypal account if paying with Paypal
Date
DD
/
MM
/
YYYY
Payment Type - choose one
.
We no longer accept Credit Cards at our store - but you can use them with Paypal
Paypal - they accept Credit Cards
Cash, Check, Money Order
just a question
Paypal - they accept Credit Cards
items ordered
list the items you wish to order or ask your question. you can cut and paste descriptions or please list company name; item number if listed and brief description with the price. ATTENTION: make sure you do not have pop-ups blocked if you want to see the confirmation page!
photo URL
if you want you can cut and paste the url address of the photo in space below, but not necessary.
Purchase
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Never submit sensitive information such as passwords.
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