JIM'S AUTO PARTS
ONLINE PARTS ORDER FORM
Phone 603-898-0535

ABOUT SSL CERTIFICATES
1.

VEHICLE INFORMATION:
YEAR, MAKE & MODEL:  
BODY STYLE:
   2-DOOR      4-DOOR HARDTOP (no post) CONVERTIBLE SEDAN (w/ post)  FASTBACK   
TRANSMISSION TYPE: AUTOMATIC      3 SPEED MANUAL     4 SPEED MANUAL 
SEAT TYPE:    BUCKET FRONTS    BENCH FRONT
CARBURETION:    2 BBL                4 BBL              6 BBL       CARBURETOR #:
ENGINE SIZE:                          
AIR CONDITIONING:      WITH A/C       WITHOUT A/C
  POWER STEERING            MANUAL STEERING 
BRAKE SYSTEM:   POWER BRAKES   MANUAL BRAKES         DISC BRAKE FRONT      DRUM BRAKE FRONT
WIDTH OF RADIATOR CORE:
(width of finned area of radiator only, finned area where water runs through)         
CHRYSLER PART NUMBER OF RADIATOR:  
(7 digit number located on the top of the radiator; needed when ordering fan shrouds)
VIN NUMBER (For newer passenger & truck vehicles) 
2.

BILLING AND SHIPPING INFO


       PLEASE CHECK THIS BOX TO ACKNOWLEDGE THAT SOMEONE WILL BE AVAILABLE AT    THE SHIPPING ADDRESS ENTERED BELOW TO SIGN FOR SHIPMENT DELIVERY. 
SORRY, NO ORDERS WILL BE PROCESSED WITHOUT THIS BOX CHECKED. 
First Name: Middle: Last Name:
*Please provide full first and last name as well as your middle initial; it is part of your customer number!
BILLING ADDRESS:
 (Please list the billing address where you receive your credit card bills. Make sure to include Street or PO Box, City, St, Zip & Country!)  Please use a "separate line" for street address and City and State
SHIPPING ADDRESS:
(Please give a valid physical address that someone will be home to sign for your shipment. Signature is required for delivery! Fed Ex does not deliver to P O Boxes!)  Please use a "separate line" for street address and City and State!!! All foreign orders must include a zip/postal code "and" a delivery phone number or orders cannot be processed! 		 
DAYTIME PHONE NUMBER*:
DELIVERY PHONE NUMBER (if different than above)*:
FAX NUMBER:

EMAIL ADDRESS:

* Please note: Email address, daytime contact phone number and delivery phone number are necessary to place an order!!!  
3.

PAYMENT INFORMATION


Credit Card #

Exp Date:    (00-0000)

Credit Card #

Exp Date:    (00-0000)

Credit Card #

Exp Date:    (00-0000)

CREDIT CARD CVV NUMBER 

Visa/Mastercard CVV Number
American Express CVV Number
4.

PARTS ORDER
(Please note minimum order is $ 30.00)
QTY PART # DESCRIPTION Specify SIZE/COLOR PRICE EA ITEM TOTAL
           
IF YOUR ORDER IS LARGER THAN THE LINES ON THIS ORDER FORM, YOU MAY HAVE TO SUBMIT ADDITIONAL FORMS TO COMPLETE YOUR ORDER. PLEASE MAKE A NOTE IN THE COMMENTS BOX AS TO THE NUMBER OF PAGES TO YOUR ORDER AND WE WILL MAKE SURE THE ORDER IS FILLED AS ONE ORDER.
Orders over $ 400.00 receive your choice of mugs (while supplies last). Please select below:
   Ceramic Mug         Water Bottle         Travel Mug
ORDER TOTAL:
5.

DELIVERY OPTIONS
Orders shipped normally by ground to the US 48 states. Orders too large for normal ground delivery will be shipped by truck freight.
U.S. DELIVERIES
Federal Express
GROUND SERVICE
* Please note: dimensional weight may apply

Federal Express
PRIORITY OVERNIGHT
(Fed Ex guaranteed delivery by 10:30 a.m. overnight*) 
* (some areas may be exempt)
* Please note: dimensional weight may apply

 Federal Express
 SECOND DAY AIR
(Fed Ex guaranteed 2-day delivery)
* Please note: dimensional weight may apply

   Federal Express
 STANDARD OVERNIGHT   
(Fed Ex guaranteed delivery by 3:00 p.m. overnight*)* (some areas may be exempt)
 * Please note: dimensional weight may apply

  Federal Express
 3 DAY SELECT
(Fed Ex guaranteed 3-day delivery)
* Please note: dimensional weight may apply
DOMESTIC GROUND FREIGHT
For larger items such as fenders, quarters & hoods
CANADIAN DELIVERIES

    Federal Express
CANADIAN AIR ECONOMY
CANADIAN GROUND FREIGHT
For larger items such as fenders, quarters & hoods
Sorry, we do not ship to small packages to Canada by Fed Ex Ground
 
INTERNATIONAL DELIVERIES
    Federal Express
INTERNATIONAL AIR ECONOMY
INTERNATIONAL AIR FREIGHT
For larger items such as fenders, quarters & hoods
 
 
ORDER INSTRUCTIONS & COMMENTS:
GIFT CERTIFICATE PURCHASE
Amount of Gift Certificate Requested: 

 
Choose one option below for receiving certificates:
  Email Certificate     Mail Certificate

Email Address To Send Certificate:  

   Address To Send Certificate:  

GIFT CERTIFICATE REDEMPTION

Gift Certificate Number:

Amount of Gift Certificate: 

Have you ordered parts from Jim's Auto Parts before?      
    YES              NO

If so, please entered your customer number here:

SUBMISSION OF ORDER
Please note: After submission, you will see a page that shows all the items you placed on your order form. This is not an email, but a one page confirmation of the items you ordered. The only email you will receive is an email with the tracking number of your shipment once it has been sent. Please note, if an Expedited Air shipment option is selected, this only will assure that your shipment will arrive in the selected number of days from its ship date. Although we will do everything possible to ship your order as soon as possible, it does not guarantee that your order will be shipped the same day as it is placed. Please note, we have a $ 30.00 minimum order.  

PRICING
 All prices, part numbers and availability of parts on this site are subject to change without notice. Parts superseded will be shipped automatically. The price of the superseded part may differ from the ordered part. If a return is desired due to cost of supersedence, no handling/restocking charge will apply. 

RETURNS & CANCELLATIONS
 We will replace any item which has been incorrectly shipped, or any item which has been determined to be defective within 30 days of invoice. All other returns must have an RMA number and be returned within 30 days. Any cancellations will also be assessed a 20% restocking fee. Any return to stock items will be assessed a 20% handling and re-stocking fee. No returns on electrical, fuel or special orders.
All returns must be made by Fed Ex or UPS to our 40 Lowell Rd, Salem, NH 03079 warehouse location.
Sorry, no US Mail returns will be accepted.

DAMAGES
 FED EX OR UPS: In the event a package received appears damaged, please have the driver note upon delivery and call us to report damage.

COMMON CARRIER: Upon delivery of any shipment, if shipment looks at damaged, please inspect shipment before driver leaves. Have the driver note any damage on the bill of lading before signing to ensure claims for damage. Any claims for damage must be handled directly with the carrier. If you have any questions or need a phone number for the carrier, please call Customer Service at 603-898-0535 Monday-Friday 10 am to 6 pm EST. 

Please note: we are unable to cancel orders after submitting, so please be sure of what your are ordering!


By submitting the above order, the customer acknowledges Jims Auto Parts ordering and returns policy.

All advertised prices, part numbers and availability on this site are subject to change without notice. We reserve the right to change part numbers to superseded numbers when necessary. Checking the availability ahead of ordering is recommended. Please call Customer Service at 603-898-0535 Monday-Friday 10 am to 6 pm EST if you require assistance.