TRAILER GIANT CUSTOMER ORDER FORM FAX TO: 1-229-423-2217
Customer Name ____________________________________Order #__________________
Address __________________________________________________________________
City _________________________ State ______________ Zip ______________________
Phone _________________________ Email ______________________________________
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Trailer Type (circle one) Cargo Horse
Utility Brand
__________________________
Size ________________ Color _____________________ Year ______________________
Option 1 ______________________________________ $ ________________________
Option 2 ______________________________________ $ ________________________
Option 3 ______________________________________ $ ________________________
Option 4 ______________________________________ $ ________________________
Option 5 ______________________________________ $ ________________________
Agreed upon price for trailer with all above options
$ ________________________
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Payment type (circle one)
Credit Card: VISA MC DISCOVER AMEX
Name as appears on card _____________________________________________________
Address credit card comes to __________________________________________________
City _________________________ State ____________________ Zip ________________
Card # _______________________________________ Exp. Date ____________________
Security Code (back of card) _______________ Customer Support # ___________________
Certified Cashier's Check or U.S Postal money order Check # _________________________
Personal or Business/Company check Check # ___________________________________
Western Union wire transfer transfer # ____________________________________________
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Authorized Signature ____________________________________ Date ________________
By signing the above I agree all of the information to be true and accept all terms and conditions.
Trailer Giant is not held responsilbe for any illegal or fraudulent charges for above information.