1) Please fill out the following. Year Model Engine Number - (from price sheet) Order Information Package Price Performance Upgrade Option Clutch Kit Sales Tax (CA Residents Only) Total Price (add above) Notes:

2) Payment Information Credit Card Number: Expiration Date: Purchaser's name as it appears on card: Address billing statement is mailed to: City: State: Zip: Phone with area code: Email:

3) Shipping Information. Shipping address is the same as billing address (skip this section) Name of repair shop or purchaser if being delivered to residence: Contact person at repair shop: Delivery address: City: State: Zip: Home phone with area code: Shop phone with area code:               We will call back to confirm your order. Thank you for choosing Bavarian Engine Exchange back to top