Please fill out the following page, print it and
ship with your components to ShockworX Motorsports
Name:__________________________________________________________
Address:________________________________________________________
City:__________________________State: ______
Zip:_________________
Phone:__________________________
Email:
__________________________
Credit
card #:_____________________________________________
Exp.
Date_________________ Security
Code________________
Model:_____________________
Year__________ MX___ XC___
TT___
Rider
Weight with gear: _______ If Racing,
what class: ________
A-arm
Length & Brand: __________________________
Swingarm
Length & Brand ______________________
Linkage: _______
Parts Shipped:
_______________________________________________
Please
list services that you would like us to perform & any additional notes.
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________ SHockworX Motorsports 1122 Oklahoma Ave Trenton, MO 64683 Email us @ bthomas139@yahoo.com
Text Message Us @ (660) 654-3040 (660) 654-3040 shop (660) 339-7018 fax
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