Redneck Rides, Inc. Tail Light Order Form

Billing Address (As it Appears on Credit Card):				Ship To Address (No P.O. Boxes):

Name:				Name:
Address1:				Address1:
Address2:				Address2:
City:	State:		Zip	City:	State:	Zip
Daytime Phone:				Daytime Phone:
				Business Address: Yes: No
E-Mail Address: (Required for shipment tracking!!!)
Item(s) Ordered
Factory Tail Light kit Sequential Tail Light kit		Quantity:------ Quantity:------		$220/each pair (1 kit equals one car) $330/each pair (1 kit equals one car)

Shipping Method
UPS Ground $7.50 fixed Cost UPS 2nd Day Call for quote UPS Next Day Call for quote				TN. Residents pay 9.75% sales tax (Beginnning Aug. 1st Alabama Residents Pay Sales Tax)

*Privacy Notice: Redneck Rides will never* request any personal information, including credit card numbers via e-mail. Redneck Rides will flat-out never share any information that we collect. Please address any security issues by contacting us at 256-247-7337
*Order Confirmation*: Completing this information does not confirm your order. After pressing the "Submit" form, please call 1-800-598-6904 to complete credit card information. Please note: this line is answered by Assembled Products, Inc., and no technical support is available from their telephone operators.
*Technical Support/Questions*: Ya'll give us a ring at 256-247-7337 or e-maill us at whut-now@redneckrides.com
*Payment*: Plastic Money is not charged until product ships. Personal Checks are held for 10 business days.