Order Form


Name
Address
City
State
Zip Code
Phone (daytime)
Carb. Make
Model
Size (mm)
Qty of Jets
Price ea. $89.95
Sub Total (qty x $89.95)
Shipping $5.00 per order
Total Order

Send orders with certified funds Payable to Randy Benetti to:

Randy Benetti

PO Box 536

Grants Pass, Oregon 97528

Attn: Order Desk

All orders shipped within 48 hrs.