JGY Customs Online Order form

Email Address:

First Name:

Last Name:

Street Address (for where the item is to be shipped):

City/Province:

State:

Country:

Postal Code:

Telephone Number with Area Code:

Product to Order:

Price as listed on website:

Additional Information:

Credit Card Number:

Credit Card Expiration:

Credit Card Billing Street Address, Town, and Zip code:

Credit Card Security Code (3 digit code on the back of your card):
Favorite Part Of Our Website:
Height of card holder:

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.