HLS Suspension
ORDER FORMINSTRUCTIONS - Please fill this out and fax, mail or email it to us when you place your order or you can call one of our friendly (at times) sales staff and have them fill it out for you - please have your filled out and ready to read off when you call to place the order.Send to: Return Address and Information: Name:
_______________________________________________________________________________ Address: ______________________________________________________________________________ City:
__________________________State: ______
Zip:_______________________ Phone:
__________________________ Credit card #___________________________________________________________________ Exp. Date_________________ Security Code________________ Essential Enhanced Elite (please circle one) Model:
__________________________ A-arm Length& Swingarm Rider Weight:
_________________________ Front Tires:
_____________________ Rear Tires:
_____________________ Please list as many things that you
can think of that may effect how your new shocks are built or additional notes you may have for
us__________________________________________________________________________________________
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