Order Information
Phone:  (503) 228-2001
Fax:   Print this form and fax it to (503) 228-2006
Mail:  Send this form to Liftparts of Oregon, Inc.  4000 NW Yeon Ave  Portland, OR 97210

Terms & Conditions
We accept Visa, Mastercard for your convienience, however a $25.00 minimum order for all credit card and C.O.D. transactions is required. Standard terms for established customers is Net 30 days with a 1 1/2% monthly fee on all accounts over 30 days.

Shipping Information
All orders shipped UPS Ground unless specified.Truck shipments are sent Freight Collect with the carrier of our choice unless specified. All orders are subject to a handling fee in addition to freight amount.

Order Form

Part Number Description Qty Price Total Subtotal Tax Total

Shipping Address

Name Address             City State Country Zip Email

Billing Address
  Check if same as shipping address

Name Address             City State Country Zip Email

Billing Information

Credit card Name on Card Card number Expiration