E-Cutout Mail Order Form

 Mail Order Form To:

DMH PERFORMANCE
989 WHITE OAK RD
CINCINNATI, OH 45245

Name___________________________________________________________

Street___________________________________________________________

City____________________________ State___________ Zip Code________

Phone__________________________

Type Of Vehicle__________________________________________________

Approximate length from Firewall to where
the E-Cutouts will be mounted____________________
* This info is needed for the Wiring Harness length*
 

Payment Method: Check____ Money Order____ Pay Pal____ COD**____

Notes___________________________________________________________

________________________________________________________________

________________________________________________________________


*Note* There is a $7.00 charge for COD

 

Please Circle Appropriate Product

2.5 single ------------------------- #2025S1 --------------------- $179
2.5 dual --------------------------- #2025D1 --------------------- $320
2.5 single w/ Flowtech ---------- #2025SF --------------------- $199
2.5 dual w/ Flowtech ------------ #2025DF --------------------- $360
3.0 single ------------------------- #2030S1 --------------------- $179
3.0 dual --------------------------- #2030D1 --------------------- $320
3.0 single w/ Flowtech ---------- #2030SF --------------------- $199
3.0 dual w/ Flowtech ------------ #2030DF --------------------- $360
3.5 single ------------------------- #2030S1 --------------------- $179
3.5 dual --------------------------- #2030D1 --------------------- $320