MotionLite: Light Your Wheels at Night

	If you are a dealer or distributor and would like to place an order or if you would like to apply to become a dealer/distributor and receive special pricing breaks, please visit our dealer area. If you have any questions, or wish to order by phone you can call us at 1-866-604-1178.

PURCHASE MOTIONLITE™ SETS

MotionLite™ Sets RETAIL $795.00. Includes shipping.
DEALER PRICING
1 / $650	15 / $550
2 / $625	20–49 / $525
5 / $600	50–99 / $500
10 / $575	100+ / $450
*Deferred Shipment Available — Call 1-866-604-1178

Customer Name

BILLING INFORMATION
Billing Address
City
State
Zip

SHIPPING INFORMATION
[check if same as Billing Address]
Shipping Address
City
State
Zip

Phone [000-000-0000]
Fax [optional]

SET QUANTITY BY COLOR
Teal	Green
Red	Purple
Pink	White
Orange	Blue

TOTAL UNITS:
UNIT PRICE:
SUBTOTAL:
SALES TAX: [NC residents only]

TOTAL PURCHASE

CREDIT CARD INFORMATION
Card Type
Card Number
Name on Card [exactly as it appears]
Expiration Date
Security Code
[last 3 or 4 digits on back of card]