MMR Order Form

MMR Order Form

The MMR Website offers convenient online ordering, click

on "products" to the left<< to start your search, once you have found your item simply click the

shopping cart icon and you will be guided through the check-out process or feel free to Call

1-877-MOD-POWR to place your order by phone or

fill out this form and fax to 805 650 6954 or -email to info@modularmustangracing.com

MMR Processes and ships most orders same day! We accept ALL credit cards.

Name:______________________________________

Billing address Street:________________________________

City________________________ ZIP_______ State_____

Shipping address Street:________________________________

City________________________ ZIP_______ State_____

Phone #_____________________

Credit Card#_______________________________ Ex Date_______ 3 digit security code______

Item (part# or description)__________________________

__________________________

Comments________________________________________

________________________________________

Type of shipping: UPS GROUND__ UPS 3 DAY__ UPS 2 DAY__ UPS OVERNIGHT__

ALL MMR ORDERS ARE CHECKED FOR FRAUD, ALL FRAUDULENT ORDERS ARE REPORTED IMMEDIATELY