USA Express - Tires Order Form

Tires Order Form

Welcome To USA Express

Lowest Prices:
Guaranteed! Check Size &
Price Here

How to use this Form:
u Use one Form per order. DO NOT CLICK ON "BACK". If you do, all typed information will be erased.
u Type in the Form, on screen response, (fill out all applicable blanks).
u If you make a mistake, backspace and type again, or highlight the entire box and hit "Backspace".
u Press "TAB" to move between blank spaces. When finished, please click on "Send it in".

Client Information:

First Name:
Last Name:
Telephone Number:
E-mail address:
Best time to contact:

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Vehicle And Tire Information:

Make:
Model:
Year:
Tire Size:

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General Information:

Payment:	.Check .Cash .Credit Card
Today's Date:	Month Day Year
Date Needed:	Month Day Year

Comments: (please type below additional instructions for delivering your order)
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Certifications & Membership By Leading Organizations: (for more info, please click on logo)

ASE certification means that an individual has passed tough industry-developed exams and meets experience requirements.
ASE Blue Seal of Excellence Recognition goes a step further by identifying those establishments that have a large percentage of certified professionals and a certified professional in each area of service offered. It's a commitment that earns only the best establishments the recognition to stand out from the crowd. More info
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USA Express Technicians Are Certified By ASE .	.	USA Express Was Awarded ASE Blue Seal Of Excellence
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USA Express Is ACDelco Qualified Service Center	.	. .Click On Logo To View BBB Report About USA Express

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24561 Trabuco Parkway
Lake Forest, CA 92630
Tel: (949) 454-8001
Fax: (949) 454-8173