HiP Catalog 2018

Fax order form to: 336-227-9871
Please mail order form to:
HUBBARD’S IMPALA PARTS
1676 ANTHONY RD.
BURLINGTON, NC 27215
Name (Print)
Address
City State Zip Code
Telephone #: Day
Night
OVER 7000 PARTS ONLINE AT: www.impalaparts.com SALES/CUST. SUPPORT: 1-800-846-7252
> NO ORDERS WILL BE PROCESSED WITHOUT A VALID DAYTIME TELEPHONE NUMBER <
Part # Item Description Qty Price Total
TRUCK SHIPMENTS
We will be submitting each order for a shipping rate quote
directly to the carrier. This charge will be applied to the order
at the time of purchase, whether online or via telephone.
Please refer to our online Terms & Conditions for the most
current information related to shipping calculations.
https://www.impalaparts.com/Conditions.php
SUB-TOTAL $
6.75% SALES TAX (NC only) $
Call for shipping quote
TOTAL $
CHARGE MY: o VISA o MASTER CARD o DISCOVER o AMERICAN EXPRESS
MINIMUM $25.00 PER ORDER ON CHARGE CARDS.
Please enter all numbers, expiration date, and name as it appears on charge card.
Card holders current billing address (where you receive your statement) must be present.
PLEASE SELECT A
YEAR & BODY
STYLE FROM
THE LIST BELOW
Year
Interior Color
Exterior Color
2 DR HT IMPALA
2 DR HT IMPALA SS
2 DR HT BEL-AIR
2 DR HT CAPRICE
2 DR HT CUSTOM
2 DR CONV. IMPALA
2 DR CONV. IMPALA SS
2 DR SEDAN IMPALA
2 DR SEDAN BEL-AIR
2 DR SEDAN BISCAYNE
4 DR HT IMPALA
4 DR HT CAPRICE
4 DR SEDAN IMPALA
4 DR SEDAN BEL-AIR
4 DR SEDAN BISCAYNE
4 DR WAGON IMPALA
4 DR WAGON BEL-AIR
4 DR WAGON BISCAYNE
NOT LISTED (Write below)
ORDER FORM
Card Number:
Exp. Date:
Card owners signature must be signed
Billing address of credit card
1-800-8-IMPALA • www.impalaparts.com
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