Electro Automotive: Order Form

Order Form: Mail to Electro Automotive, POB 1113-W, Felton, CA 95018
Quan.	Item		Price Ea.	Item Tot.	Ship. Tot.










Column Totals
9% Sales Tax on Merchandise Total (CA Only)					XXXXXX
Total Enclosed
Battery Pack Info
Pack Volts	Brand	Model	Flooded, Gel, or AGM?		Amp Hours

For Adaptor or Kit Orders, Include Donor Car Info & Send Paper Transmission Outline Tracing, Rubbing of Flywheel Hole Pattern, & Flyhweel Photo to Confirm Pattern Match
Make	Model	Mo. & Yr.	Vehicle ID #		Eng. Size

Bill To:			Ship To:
Name			Name
Address			Address
City/State			City/State
Zip Code			Zip Code
H Phone			W Phone
C Phone			Email

Returns accepted for warranty issues ONLY, for replacement. No cash refunds.
For ordering and warranty information, see the Order Info page.