Total $______________
Please make note on your order or confirm by email which type of axle you have. "A" stock Mustang axle or "B" medium/large Ford passenger car axles.
Rosehill Performance Parts
Please fill out this form and print.
Please make personal checks, cashiers checks and money orders out to:
Rosehill Performance Parts and Mail to:
Rosehill Performance Parts
Attn:
Glen Buzek
21615 Mueschke
Tomball, Texas 77377
| Date: (Tab to next field) | ||
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| First Name: | ||
| Last Name: | ||
| Home Telephone # | ||
| Work Telephone # | ||
| Address : | ||
| City: | ||
| State: | ||
| Zip Code: | ||
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| Your e-mail Address: | ||
| Make of Car: | ||
| Model: | ||
| Rear Axle: | 8-inch 9-inch | |
| Bearing type / Axle Flange Dimensions | ||
| Personal Check | Money Order | Cashiers Check |
| Lincoln Mark VII Brake Brackets &
SN 95 Brake Brackets are
$150.00 per set. Texas residents add 8.25% ($12.36) sales tax.
Total $______________ Please make note on your order or confirm by email which type of axle you have. "A" stock Mustang axle or "B" medium/large Ford passenger car axles.
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| We will contact you if there is a problem processing your order. Please be sure to give us your phone number. If we cannot contact you by phone, we will contact you by mail or email. | ||