1st Eclipse Sunshade Home of the Eclipse Sunshade, Windshield Sunscreen Sunvisor 1st Eclipse Sunshade Measure & Order Form Home of Eclipse Sunshade

Tested for durability
Sunshade Order Form                                       
  
  Please use this form to place your order and mail it in as a "mail in" discount form. Eclipse windshield sunscreen sunshades have been use by many happy customers over the years. And now, you can yours at a lower mailed in order.

     Orders     (888) 436-0899
       eFax     (206) 426-7446
   All that is required for you, the customer to do is, either know the size of sunshade you need for your application or vehicle use. Then, fill in all the required information below, to which we can custom build your eclipse windshield sunscreen sunshade for your winshield's best fit.    
           The Eclipse Sunshade Windshield Sunscreen in Action

                        Vehicle: _____________   Make _____________   Sunshade Size _________            and           Year: ____________


                                                (Call us "below right" before mailing for discount with freight cost)
                                                Special Discount     Send using a US Postal Money Order

                                                US Postal Money Order # ______________        Amount $_______.___
                                          Make Payable and Mail to:      AGS Eclipse Sunshade
                                                                                          PO Box 6191
                                                                                          Riverton, Wyoming 82501
 
Credit Card Purchase Prices Only
Charge my Card:   $39.95 + $15.95 S&H; .......................................... for a 28" or smaller
Charge my Card:   $39.95 + $15.95 S&H;   then   (add $10. for cutout) for a 28" or smaller
Charge my Card:   $56.95 + $15.95 S&H; .......................................... for a 29" or larger
Charge my Card:   $56.95 + $15.95 S&H;   then   (add $10. to cutout) for a 29" or larger
  If you are not sure of your size?   Please click     then come back
Credit Card Information: visa__ m/c__ (american express __ add 4%) (please check one)
  • Card#: __________ __________ __________ __________ Total w/S&H;:$ _______.___
  • Expire Date:____/____                                                             Pin# ____ (back of card)

    Name Appears:_____________________________________        (Print or type clearly)
     

  • (Signature required):____________________________________________
     
  • Name or Company:______________________________________     Tele:_______________
  • Ship to Address:____________________________________________________
  • City:_________________________    State/Province:_______________________
  • Zip Code: ___________    Country:______________________
  • Valid Email:______________________________________________ <          (print clearly)
    		• When you finish - mail to:

    AGS Sunshade
    PO  Box   6191
    Riverton, Wyo. 82501
     
    Or eFax to   (206) 426-7446
    Call us at (307) 333-7542 if, you are having trouble faxing to us, for an alternative fax number.
     

     

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