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To order on-line complete the form and click "Submit". 
If you would rather fax, mail, or call this order in,
(1) Complete the form,
(2) Click the "Print" button on your computer to print the form, 
(3) Complete the form, 
(4) Fax or call us.

Open Monday-Friday 9-5 (EST) Saturday 8-12 Closed Sunday 

Kentucky Mustang * 985 Doublegate Rd. * Jeffersonville,KY 40337 

Call Toll Free 1- 888- 861- 0176 * 24 Hour Fax 1- 859- 498- 8017

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: Address : Address
: City : City
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: Zip : Zip
: Country : Country
: Phone : Day #

Please provide a street address for shipping. UPS & trucklines will not deliver to a P.O. Box

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