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If you would like to place an order, please fill out each section below.
We will call, fax or email you before shipping to confirm your order.



Please Note:
  • If you are worried about sending your credit card information over the Internet, we recommend printing this form and faxing it to us at 972-292-3269.
  • Any information you give us here will not be given or sold to anyone else.
  • We can NOT ship to a post office box.
 


1. We need to know who you are and how to contact you in case we need additional information about your vehicle.
Contact Information:
* Email:
Full Name:
  (First Last)
City:
State:
Zip Code:
Telephone:
  (XXX-XXX-XXXX)
FAX:
  (XXX-XXX-XXXX)
Required *
If you have a question:
  • Describe your vehicle in the message.
  • Enter an email address, telephone, or fax number above in case we need additional information about your vehicle.
How may we help you?


2. We will need some information about your vehicle and the tank you wish to order.
Vehicle Information:
Year:
Make:
Model:
Engine:
Transmission:
Bed Style:
Fuel:
 
Which tank would you like to order?


3. For your convenience you may send your payment information with your order.
Payment Information:
Credit Card:
Card Number:
Exp. Date:
Your name:
  (Name must be as it appears on the card.)


 
 
 
 
American Tank
15222 King Road - Suite 801 - Frisco, Texas 75034 - (877) 485-3359
©2005 American Tank - All content may not be republished, linked, or copied to without permission.