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5934 Lonyo Detroit, MI 48210 PH: 313-216-9030 sales@motorcityhp.com motorcityhp.com body-panel.com |
| Shipping information: |
| Can our shipper leave this item/items without a signature? Yes No |
| First Name_____________________________ |
| Last name______________________________ |
| Street address____________________________________________________ Apt#________ |
| City___________________________ State_______________________ Zip________________ |
| Phone number___________________________ E-mail____________________________________ |
| Please enclose a check or money order for the total amount due. If paying by check, there may be a delay in processing of up to 10 days. Make checks and money orders payable to Motor City Hi-Performance Send this form and payment to the address listed above. If there is any trouble processing your order we will contact you by phone or e-mail immediately. |
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| Signature_________________________________________________ | Date________________________ |