C5 Registry Visor Order Form

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Here's how this works: To buy the C5 Registry visor, fill out and submit the order form below and then send a check to me. I'll confirm your order via email and ship as soon as we receive your payment.

Form Instructions: (Please read)

Fill out the form below carefully, completing all of the boxes appropriate to your order. When complete, click on the "SUBMIT" button.

Mail your check (made payable to Chaz Cone) to:

Chaz Cone
6900 Hunters Knoll
Atlanta, GA 30328

Ordering Information: Please fill in completely

Your C5Registry number:

Your Full Name:

Shipping Address:

City: State: Zip:

Day Phone: Evening Phone:

  E-Mail:
IMPORTANT: Please list your full E-Mail Address ie: JohnPublic@AOL.com  
if it's not listed, we can't respond to your order! Thanks!

Please describe your C5 by selecting one item from each of the following sets of choices:

Year Body Color Body style

Use this section to order the C5 Registry Visor

Quantity:

Now just multiply the number of Visors you've chosen above by $15.00
and enter the number here:

Total Visor amount:

Note: This amount MUST be filled in!

After you click the "SUBMIT" button below to submit this form, please send a check made out to Chaz Cone for the number of visors ordered to:

Chaz Cone
6900 Hunters Knoll
Atlanta, GA 30328

If you have any problems submitting your Order Form, click HERE to email me about your problem.

Click here to return to the C5 Enhancements page.