(Print out the following form, fill in your order, and mail, with payment, to the address at the bottom of the form.)

Ztrem Motorsports

Certified Dealer in AMSOIL Synthetic Lubricants and Filter Systems Products

Mail Order Form

Product Code

Description

Quantity

Price

Total

Weight per Item

Weight Total

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mdse Total-

 

 

 

 

 

 

Discount 5%
(if $100 or more)-

 

 

 

 

 

 

Sales Tax*-

 

 

 

 

 

 

Shipping**-

 

 

 

 

 

 

Order Total-

 

 

 

Enclose personal check or money order for order total.
Check or money order should be made payable to: George M. Mertz.
* California residents add 8.5% Sales Tax.
** Add up total weight and see shipping chart. If you prefer, I can figure the shipping charge for you.

Mail order form and payment to:

George M. Mertz
Ztrem Motorsports
28525 N. Row Court
Saugus, CA 91350-1245

Please include an email address or fax number, if possible, so that I may notify you when your order is submitted.

 

 

George M. Mertz
Independent AMSOIL Dealer
Saugus, California
1-661-296-7188
Your Customer Number is 415560

Ztrem Motorsports