POWROLL PACKING LIST

PO BOX 920 Redmond OR  97756  ●  Phone  (541) 923-1290   Fax (541) 923-5637

BIG HUGE NOTE - CALL before shipping anything that is not listed in our catalog.

CONTACT NAME

 SHIPPING ADDRESS (INCLUDE BUSINESS NAME if shipping to a business)

DAYTIME PHONE NUMBER   (               )                             -

EMAIL

PAYMENT INFORMATION

 

 VISA

 

 MASTERCARD

 

 AMERICAN EXPRESS

 

 CALL ME FOR CREDIT CARD/PAYMENT INFORMATION

CARD #

EXPIRATION DATE

VERIFICATION CODE*

(*located on the back of Visa/MC in the signature area - last 3 digits)

NAME & ADDRESS ON CARD (If different than shipping address)

 

 

YOUR BIKE/ATV INFORMATION

MAKE

 MODEL

 YEAR

ANYTHING SPECIAL OR DIFFERENT WE SHOULD KNOW ABOUT THESE PARTS? 

 

WORK TO BE DONE - EITHER LIST POWROLL PART NUMBERS, OR A SHORT DESCRIPTION

IF YOU HAVE ORDERED THE PARTS ONLINE, JUST ATTACH A COPY OF THE ORDER

Note - Powroll does not offer boring, machine shop services, or head work.  Please call before sending parts that are not listed in our current catalog.  Items that are sent for special work without our prior approval will be immediately shipped back to you freight collect.

 

 

 

 

 

CHOOSE ONE OF THE OPTIONS BELOW:

 

 PLEASE CALL ME WITH ESTIMATE (this may delay your order somewhat)

-OR-

 

 COMPLETE WORK WITHOUT ESTIMATE (faster turn-around)

Use one of the following services to pay for and ship your parts online!  UPS UPS.COM USPS USPS.COM

SENDING BY MAIL?  SHIP TO THIS ADDRESS:

POWROLL

PO BOX 920

REDMOND OR  97756

SENDING BY UPS, FEDEX, ETC?

POWROLL

13840 COMMERCIAL LP.

Crooked River OR  97760

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