ALVERTANO ENTERPRISES
Fill out the PWC Engine Shipping Form and attach it when you ship your motor, You can call us with the
credit card #
once the motor is finished or fill it in below.
Ship To:
ALVERTANO ENTERRPISES
3704 Dewberry Lane
Saint James City, Florida 33956
Name:___________________
Address:______________________________________
City:____________________ State:_____________Zip Code:________________
Home Phone:__________________ Work Phone:__________________________
PWC MAKE:_________ MODEL:______ YEAR:____
ENGINE SIZE:______cc
Quantity__________ Engine Price:_________________________________________________Price:__________
__________ _________________________________________________ __________
__________ __________________________________________________ __________
Total:__________
Method of Payment: (check one)
VISA_____ M/C______AE____DSC____
Credit Card #__________________________________________
Expiration Date:_____________
CVV Code Last Three by Signature_______
Authorized By:________________________
Signature
FLORIDA RESIDENTS ADD 6%:___________
SHIPPING AND HANDLING:_________
GRAND TOTAL:_________
To see our Business
Policy on returns and
Cancellations click above