BLACK VEST CYCLE WORKS
1841 WICKWIRE ROAD
HUBBARDSVILLE, NY 13355
315-691-2133
WWW.BVCYCLE.COM

ORDER FORM
INSTRUCTIONS

FILL OUT THE *REQUIRED INFORMATION* AND ORDER FORM COMPLETELY, THEN CLICK SUBMIT.  
WE WILL CALCULATE YOUR DISCOUNTS, SHIPPING COSTS AND TAXES IF APPLICABLE AND CONTACT YOU
VIA EMAIL OR TELEPHONE WITH YOUR TOTAL PRICE.

When you receive your Total Price go to our Catalogs page and click on the "PAY NOW"  button located at the bottom of the page, to pay with a
credit card.
If you want to pay with Cash, Check or Money Order, print the Order Form and send with payment to :
Black Vest Cycle Works 1841 Wickwire Road, Hubbardsville, NY 13355

Please Note : All Checks and Money Orders must be payable to Black Vest Cycle Works.
Orders will be shipped when funds have cleared the bank.
NAME*:
TELEPHONE NUMBER*:
ADDRESS*:
EMAIL ADDRESS*:
CATALOG NAME
PART NUMBER
ITEM DESCRIPTION
QUANTITY
Comments / Questions / Suggestions:
PLEASE DO NOT PAY UNTIL WE HAVE CONTACTED YOU WITH YOUR TOTAL PRICE.

PLEASE CLICK SUBMIT AND WE WILL GET RIGHT BACK TO YOU.

BEFORE SUBMITTING PRINT A COPY FOR YOU RECORDS  or WHEN PAYING BY CASH, CHECK or MONEY ORDER.