Order Form

Mail to: Electro Automotive, POB 1113-W, Felton, CA 95018

Quan.	Item		Price Each	Item Total	Shipping Total










Column Totals
8% Sales Tax on Merchandise Total (California Only)					xxxxxx
Total Enclosed
For Adaptor or Kit Orders, Please Include This Info on Donor Car:
Make	Model	Prod. Mo/Yr And VIN	Gas Or Diesel	VW Rabbits Only:
Make	Model	Prod. Mo/Yr And VIN	Gas Or Diesel	Headlight Shape	Hardtop Or Convertible

Please send pencil rubbing of flywheel bolt pattern to confirm match
Please Include Your Shipping Address & Contact Info:
Name			Phone
Street			Email
City			State
Zip Code			Country

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