HOME

Mail Order Form

Please print and fill in this form.

Name____________________________________       email______________________________ Address__________________________________ _________________________________________       Date______________________________ Phone (day)______________________________ Phone (evenng)____________________________      Signature__________________________

Please Note: We assume responsibility for the care of your parts while in our shop  In case of accidental damage, the item will be replaced in kind or funds, our choice. Payment: Money Orders (to Michael L. Pierich), or by credit card online via Paypal  (http://www.paypal.com) .Note: Paypal payments subject to 3% service charge applied to total price plus shipping. Cash accepted for local work.  When work is complete, you will be notified via email or phone of the balance due including shipping.  Mail money orders to: Mike's Polishing, c/o M. L. Pierich, 3776-b Powell's Valley Rd., Halifax, Pa 17032.  Paypal payments to mike@mikespolishing.com. Shipping:   When shipping items, please pack securely..  Return shipment will be via Fed Ex or Parcel Post.  If you would like insurance on your shipment (for an added charge), please indicate below.. Condition: We cannot repair large chips, broken corners, etc.  Porous aluminum and brass will take a high luster and look very acceptable,, but pores will still be visible under close examination.  We cannot be responsible for removal of such a condition, which is often mistaken for "pitting".  Also, the removal of large deep gouges could weaken the part due to material removal.  If you are concerned about this, please note below and we will remove all but the worst defects.  Your fee will be adjusted accordingly

ITEM(S) DESCRIPTION

Please list items you are shipping.  Include serial numbers if applicable

__________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ If you have already received a price quote, please indicate amount and date______________________ Would you like insurance on return shipment? (Y/N)_________ Please include this signed form with your shipment.  Keep a copy for your records. Ship to: Mike's Polishing c/o M.L. Pierich 3776-B Powell's Valley Rd. Halifax, Pa 17032