Side-view and Rearview Car Mirror Order Form

Continue down the order form to complete your order. Fill in the required fields and we do the rest. We have all mirrors in stock from 1946. Have a question or like to place the order by phone, call us at 845-561-9182

Click here to view how to measure your car mirror

Click here on instructions on how to replace your car mirror

Click here to see our full catalog of mirrors

Year
Make  CLICK HERE FOR OUR CATALOGENTER PART number's if found
Doors on Vehicle Or let us do the work and find the exact mirror for your vehicle by filling out this simple form.
Body Style
Mirror Type Power Mirror Manual Mirror
Style of Mirror
QTY ORDER DESCRIPTION
Drivers side mirror for Passenger Cars $20.95
Passenger side mirror for Passenger Cars (convex) $22.95
Drivers side mirror for Pickups, Vans, or Suv's $21.95
Passenger side mirror for Pickups,Vans, or Suv's  (convex) $23.95
Automotive silicone mirror adhesive (1 tube) $5.25 Used to glue Mirror to frame
Heating Mirror Element 29.95 (Trucks)(aftermarket element to cut and fit your mirror)
Heating Mirror Element 24.95 (Passenger Cars)(aftermarket element to cut and fit your mirror)
3 inch convex circle mirror with self adhesive backing 3.95
Rear view mirror, 8 inch $27.95 *Please indicate Breakaway Style or Screw Attachment
Rear view mirror 10 inch $27.95 *Please indicate Breakaway Style or Screw Attachment
Auto Glass Scraper (click for image of product) $14.95




Click on Shipping options
 







Insurance option*************

  $1.95 Insurance 





Please provide any information here as to model number of cars not listed. Its important that we know everything about your mirror.












******We use USPS supplied crush proof boxes labeled fragile, however there are always times that shipments are mishandled or crushed. We are not responsible for broken items on delivery.








SHIPPING INFORMATION




Full Name






Address 1








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Zip/Postal Code








Telephone AM






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Email Address

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CREDIT CARD BILLING ADDRESS IF DIFFERENT FROM SHIPPING ADDRESS









Billing Address








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Credit Card Billing


  



Credit Card






Credit Card #
 xxxx-xxxx-xxxx-xxxx




Expiration
 MM-YY



   CVV#
 This is the last 3 number located on the back of your credit card.We only accept Visa or MasterCard Credit or Debit




 







Hometown Glass Corp/Internet Glass Network, Po Box 273, 24 Hallock Drive, Washingtonville, NY, 10992 845-561-9182, Fax 845-784-1641
Copyright © 2010 [Internet Glass Network, Hometown Glass Corp]. All rights reserved. 

www.auto-glass.com, www.internetglassnetwork.com 



Revised: 08/27/10


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