Advanced Designs in Automotive Technology Order Form
Fill this form out then press the submit button to send it to us. You will be e-mailed with a shipping quote for your
order. Please wait for a shipping quote on our products before sending
All information is kept confidential between Advanced Designs and their customers/clients and will NOT be
given to a third party. *Denotes Required Field

Name: *
Address: *
City: *
State: *
Country: *
Zip: *
Phone: *
Work Ph: (optional)
E-mail Address *
Product Description Quantity Price Ea. Total


Shipping cost: (please email us for a shipping quote)
Payment may be in the form of a personal check or money order made out to:

Don Colie
684 Webster Rd.
Glade Hill, VA 24092

Ph: 540-484-0753

NOTICE: If paying by personal check, please allow 4-6 weeks for clearance. Orders are processed in the
order in which they are paid. For the fastest service possible, a money order or cashiers' check is suggested.
If you reside outside of the U.S. you must secure a U.S. money order from the currency exchange at a
bank in your country. Due to the nature of this business being custom fabricated work, refunds of any kind
are not possible.

We thank you for your business!!