Order Form

Midwest Super Cub, LLC
Order Form
print off, fill out and send in to 1323 4th Avenue; DeWitt, IA 52742

Name:

Address:

City/State/Zip: Phone#

CC# Exp. Date:

Part # Quantity Price:

Subtotal:

See Chart Below for Handling Amounts Handling:

Iowa Residents Add 7% Sales Tax SALES TAX (IOWA ONLY)

                                                                              Total:
Mail to:      Midwest Super Cub, LLC
                  1323 4th Avenue
                  DeWitt, IA 52742

Handling Charges:
$ 00.00 to $ 50.00 $12.00
$ 51.00 to $100.00 $13.25
$101.00 to $150.00 $14.50
$151.00 to $200.00 $15.75
$201.00 to $250.00 $17.00
$251.00 to $300.00 $18.00
$301.00 to $350.00 $19.00
$351.00 and higher $20.00

UPS COD Charge is $9.00 per shipping container SORRY NO COD's for rear tires, weights or engines.
Freight Policy
Customers are responsible for freight charges on Complete Engines, frames, tires, transmissions, Dart set ups and weights. Please call us for shipping charges on these items.

Updated: February 06, 2008