JGYCustoms, Inc. Online Order Form

To use this form, toggle to item listing page, copy desired item info and paste copied info into appropriate form fields below.

PRODUCT INFORMATION:

Product to Order:*


Price:*


Promo Code/Discount (Military Discount/Repeat Customer Discount/etc.):


Additional Information:



CONTACT INFORMATION:

First Name:*


Last Name:*


Telephone Number with Area Code:*


Email Address:*



BILLING ADDRESS:

Street Address:*


City/Province:*


State:*


Country:


Postal Code:*



BILLING INFORMATION:

Credit/Debit Card Number (Visa, Mastercard, Discover, etc... just not AmEx):*


Card Expiration:*


Card Security Code (3 digit code on the back of your card):*


Phone Number Listed on Back of Card (required to verify name on card):*



SHIPPING ADDRESS (if different from billing address provided above):

First time customers must have merchandise shipped to BILLING ADDRESS ONLY. JGY reserves the right to ship all orders to billing address.

Street Address:


City/Province:


State:


Country:


Postal Code:



Additional Information:

*required field

Your order is not automatically generated. JGYCustoms, Inc. reserves the right to review your order and contact you to obtain additional information. If JGYCustoms, Inc. price is different than what is listed on the website, JGYCustoms, Inc. will contact you before processing order. If item is not in stock, JGYCustoms, Inc. will contact you to ask if order is acceptable by you based on the delay of merchandise. Shipping prices vary based on the order and are not included in the price. If shipping price is not deemed typical by JGYCustoms, Inc., JGYCustoms, Inc. will contact you before proceeding with order. If order is to be shipped outside of the U.S.A., JGYCustoms, Inc. will contact you before proceeding with order. JGYCustoms, Inc. reserves the right to charge your card an acceptable (decided by JGYCustoms, Inc. ) amount to cover shipping. If you do not feel comfortable providing your credit information over the internet, please allow JGYCustoms, Inc. time to contact you to obtain the information.