GLOBAL PETROLEUM, LTD.

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SECURE Order Form

IF THE PAGE DOES NOT LOAD COMPLETELY, CLICK HERE or CLICK THE REFRESH BUTTON ON YOUR BROWSER, THIS OCCURS DUE TO HIGH TRAFFIC VOLUME ON OUR SECURE SERVER CONNECTION. WE APOLOGIZE FOR THE INCONVENIENCE. PLEASE KEEP TRYING.

To print this form, double click on any blank area of the page, a print window will appear on top of the page.

If you experience difficulty submitting this form electronically, or do not wish to do so, please fill out the form then double click on any blank area of the page, a print icon will appear on top of the page. You can print the completed form and fax it to us at ( 310 274 6163 ). For assistance please call ( 310 385 0016 ), 24 hours/7 days a week.

Please SELECT the quantity for each PRODUCT that you would like to purchase.

Special offer on the additive

GLOBAL 20K ULTRA PERFORMANCE ADDITIVE
QUANTITY & PRICE (US$)
DOMESTIC* SHIPPING COST (US$)
SALES TAX, CA. RESIDENTS @ %8.25 (US$)
TOTAL DUE (US$)

GLOBAL 20K ULTRA PERFORMANCE MOTOR OIL, 10W-40

QUANTITY & PRICE (US$)
DOMESTIC* SHIPPING COST (US$)
SALES TAX, CA. RESIDENTS ONLY @ %8.25 (US$)
TOTAL DUE (US$)

*INTERNATIONAL ORDERS; PLEASE e mail US FOR SHIPPING COST OR SUBMIT YOUR ORDER AND WE WILL ADVISE THE SHIPPING COST FOR YOUR APPROVAL BY E MAIL BEFORE SHIPMENT OR USE INDUSTRIAL ORDER FORM (CLICK HERE) . IF QUANTITY OF YOUR ORDER EXCEEDS THE QUANTITY ALLOWED BY THIS ORDER FORM PLEASE USE INDUSTRIAL ORDER FORM (CLICK HERE).

SATISFACTION GUARANTEED YOUR YOUR MONEY BACK.
EXPRESS SERVICE AVAILABLE.

PAYMENT METHOD
(PLEASE CHOOSE ONE)

1. CHECK OR MONEY ORDER, please print this form & mail* it in with your payment.

2. SUBMIT THE FORM AND MAIL* IN THE PAYMENT.

3. CREDIT CARD, please submit the completed form.

Credit Card No.: Expiration Date:month -day -year

*Our mailing address: * GLOBAL PETROLEUM, LTD. c/o: internet sales. 139 SOUTH BEVERLY DRIVE, SUITE 312, BEVERLY HILLS, CA., 90212, U.S.A. .

Billing Address:

First Name:
Last Name:
Organization:
Street Address 1:
Street Address 2:
Apartment #:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
E-mail:
If the shipping address and the billing address are the same, please check here and leave the shipping address blank
First Name:
Last Name:
Organization:
Street Address 1:
Street Address 2:
Apartment #:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
Fax:
E-mail:
COMMENTS AND SUGGESTIONS OR SPECIAL INSTRUCTIONS: