KGap Order From

Due to continued rising petroleum costs, prices may change without notice.
ORDER FORM ___________________

___________________

YEAR____________________MODEL #_______________ Example: Year: 1949 Model # 494

Serial Serial

MAKE___________________ No .__________________ Make: Hudson No. 494XXXX

Restoration ( ) Restoration (X)

MODEL_________________________ Modified ( ) Model: Super Six Modified ( )

BODY STYLE____________________________________ Body Style: 4 dr Sedan

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CANADIAN - ALASKA - HAWAII ORDERS

include 20% shipping/handling. 10% if order is TOTAL OF ORDER _________________________

over $200. Canadians - send funds payable in US

$$ and drawn on a US affiliated bank or a PMO. 7.75 % TAX - Calif Only _________________________

ALL INTERNATIONAL ORDERS - Send order,

we will notify you of total due with your choice of MINIMUM SHIP $6.00 _________________________
shipping and cost. for orders $30.00 and under.

MAXIMUM SHIP $30.00
$35.00 for orders over $1001.00

Add $ 9.50 if order is COD _________________________

Name_____________________________________________TOTAL AMOUNT DUE _________________________

Address____________________________________________                               Make checks payable to
                                                                                                                                           K-GAP    PO Box 720976
                                                                                                                                                Pinon Hills, CA. 92372

City, State, Zip_______________________________________ MORE INFO ON REVERSE

Phone #_____________________________________________ HET CLUB MEMBER yes_______no______