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WALKER MACHINE 100% guaranty correct to year and Marque Quality without compromise This page was last updated: January 08, 2007 Made in the little town of Brookfield, Massachusetts, USA |
To Order using this form: print out the form, filling out information and either
send by mail to: POB 296, Brookfield, MA 01506 or fax to: (508) 867-8097
PAY BY: ________ Check (enclosed) __________ Charge ________ Invoice (must have established account)
Online Ordering by PayPal available - see instructions below
We only charge your account for items in stock! Back-ordered items are charged when sent. You will be notified of any backorders.
ORDER INFORMATION: (We GUARANTEE we will give NONE of this information to ANYONE for ANY REASON!)
Marque, Model and Year of Motorcycle(s): ________________________________
E-mail address: _______________________________________________________
NAME: _____________________________________________________________
STREET ADDRESS: __________________________________________________
CITY, STATE, ZIP, COUNTRY: ________________________________________
Phone: ________________________ Fax: _________________________________
If Ship To address different, enter here: __________________________________
COMMENTS or SPECIFICATIONS: _____________________________________ (IF using PAYPAL, stop here)
If Charge Card address different, enter here: _______________________________
Charge Card Number: _________________________________________________ (do NOT email this info - this server is NOT secure - mail or fax it)
Expiration Date: ______________________________________________________