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13627 Brookside Dr.
Sterling Heights, MI 48313
PH: 586-566-0609

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.

For shipping charges please use the flat rate posted on our website if you are within the continental US. AK, HI, PR and all other locations will be extra. If you item ships by truck please call us first for a shipping quote.


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Signature_________________________________________________  Date________________________