Motor City Hi-Performance - Print an order form

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

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.

Part #	Description	Qty.	Price

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Signature_________________________________________________	Date________________________