Mini Truck Parts Request Form

Name: *

First name

Last: *

Last name

Email: *

Address: *

City: *

State: * Alabama Alaska Arkansas Arizona California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Iowa Idaho Illinois Indiana Kansas Kentucky Louisiana Massachusetts Maryland Maine Michigan Minnesota Missouri Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey New Mexico Nevada New York Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Virginia Vermont Washington Wisconsin West Virginia Wyoming

Zip: *

Vehicle Mfg: *

Year: *

Model: *

Vin/Serial# *

Engine Type: *

Engine: * "550" cc "660" cc Other, please explain in comment section

Qty Part/Item 1

Part/Item Description 1

Qty Part/Item 2

Part/Item Description 2

Qty Part/Item 3

Part/Item Description 3

Qty Part/Item 4

Part/Item Description 4

Qty Part/Item 5

Part/Item Description 5

Comments

Please indicate any special information concerning your order

Terms Terms and Conditions of Orders We have the following policy concerning parts orders through our website. Prioritization of all orders as follows: 1. By date submitted with ALL REQUIRED INFORMATION ACCURATELY submitted; 2. An attempt will be made to complete any orders submitted with incomplete information, but if we can not be certain what the requested part is we will communicate by email (provided we received a working e-mail address) to inform you that your order has been canceled. We will NOT contact you by PHONE. Once an order is canceled you need to submit a new order via our website.

Confirm *

By checking the box I agree and accept the terms and conditions as stated

 

If the form doesn’t provide adequate space for your order, please click on the back button in your browser after submitting the form.  Your information should be saved, and you can simply change the order and re-submit the form.