---
title: "Invoice"
url: "https://palmspringsclassiccars.com/invoice/"
post_type: "page"
date_published: "2021-08-31T20:28:13+00:00"
date_modified: "2021-09-01T17:19:20+00:00"
---

# Invoice

Invoice
Please Return By E-mail Or Mail

Your Chariot Awaits

                
                        Name
                            
                            
                                                    
                                                    First
                                                
                            
                            
                                                    
                                                    Last
                                                
                            
                        Booking PersonPhoneAddress    
                    
                         
                                        
                                        Street Address
                                    
                                        
                                        Address Line 2
                                    
                                    
                                    City
                                 
                                        State / ProvinceAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific
                                        State
                                      
                                    
                                    ZIP Code
                                
                    
                Email
                            
                        Event NameEvent DateEvent Location: Pick UpDrop OffTime(s) Of Use:From:To:&nbsp;      Antique Car:MakeMakeMake&nbsp;      Antique Car:ModelModelModel&nbsp;      Antique Car:YearYearYear&nbsp;      How Did You Hear About Us?Mailing Address: Palm Springs Classic Cars, c/o John Shadrach P.O. Box 10449, Palm Desert, CA 92255E-mail Address: my66cadillac@aol.comPayment By Cash or CheckTotal Cost:DepositDate Deposit PaidBalance DueCustomer or Agent SignatureYour NameYour NameYour NameYour Name
         Submit
