2010 CORVETTE ORDER FORM
Customer Name:  

Address:  

City, State Zip:  

Email:  

Phone:  

What Model:  2010 Coupe 2010 Convertible 2010 Z06 2010 Camaro 2010 Coupe 2010Convertible 2010
Z06 2010 Camaro

Salesperson ­Chris Warren
Position-Corvette Sales

Your $1000.00 deposit is 100% refundable unless the order has been placed with GM and the vehicle is
a museum delivery or a drop ship. If it is a museum delivery or drop ship and you fail to take delivery
the shipping to Dearborn, Michigan will be deducted from the deposit and the balance is refundable.  
The fees and taxes are based upon the buyer¹s state of residence. The order is subject to availability
and GM production constraints.  Return with a $1000.00 check or insert credit card info on the bottom.
100% of the deposit will be credited to your purchase.

Sign here to agree to the above terms

ELECTRONIC SIGNATURE:  

I AUTHORIZE LES STANFORD CHEVROLET TO CHARGE MY CREDIT CARD FOR $1000.00

ELECTRONIC SIGNATURE:  
CARD NUMBER:  

TYPE OF CARD:  Visa Discover Mastercard American Express

EXP DATE:  01 02 03 04 05 06 07 08 09 10 11 12 /  06 07 08 09 10 11 12

3 DIGIT CODE ON BACK OF CC IN SIGNATURE STRIP:____________


Thank you in advance for your commitment, you will not be disappointed!

   Les Stanford Chevrolet
   Chris Warren
   21730 Michigan Ave.
   Dearborn, MI 48124
   866-720-8388 toll free
 313-561-2844 fax#
THANK YOU FOR YOUR PURCHASE
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(313)561-2844
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