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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________________________