Patent No. 4,920,747
Patent No. 4,920,747
INSTRUCTIONS:
Please fill out the form below and print it.
Mail the completed form with your check or money order to the address below.
Order Form
Name
Address
City
State
Zip Code
Phone
E-Mail
Qty
Part
Price
Total
Header Dump
No Flange
$90.00/set
Additional Caps
$15.00 each
Shipping & Handling
US rate only
$10.00
Call or e-mail for international shipping rate
Grand Total
Mail Orders to:
Header Dumps
20078 5B Road
Plymouth, In.46563
(Checks or Money Orders only)
