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(937) 444-0900

Printable Mail In Order Form - Click and Print   

-Online Order Form-

Full Name

Full Shipping Address

Phone Number

Type of Vehicle (Make/Model/Year)

Approximate length of cable needed:

* This info is needed for the Wiring Harness length*

Payment Method:
PayPal    COD
*Must pay via PayPal on this page after you send the form*
*There is a $7 Charge for COD*

E-Mail Address / Additional Notes (Required)

Select Appropriate Product


*After Submitting You Must Click "Pay With PayPal" On This Page Unless Paying COD*


Next Step:
Pay Now With Paypal