Please fill this page out completely and send it with your suspension
or motor.
1) Remove and thoroughly clean all parts to be shipped. If
you are sending a complete motor please drain the gear oil.
2) Carefully wrap individual parts in protective packing
material. Pack and tape the box thoroughly. Please use seperate boxes for
motor and suspension components. Pro-Action is not responsible for parts
that are damaged during shipping.
3) Please fill out the following form and ship with your
components to Pro-Action.
NAME:__________________________________________________________________________
SHIPPING
ADDRESS______________________________________________________________
CITY____________________________________________________________________________
STATE__________________________________________________________________________
ZIP_____________________________________________________________________________
DAYTIME PHONE________________________
EVENING PHONE________________________
E-MAIL_________________________________
METHOD OF PAYMENT VISA-MASTERCARD-COD
NAME ON CREDIT
CARD__________________________________________________________
CARD
NUMBER__________________________________________________________________
EXPIRATION
DATE________________________________________________________________
BRAND OF MOTORCYCLE OR ATV_________________________
YEAR__________________________________________________
MODEL/SIZE____________________________________________
RIDERS WEIGHT (STREET CLOTHS)________________________
RIDERS HEIGHT_________________________________________
TYPE OF RIDING________________________________________
IF COMPETE WHAT CLASS/AVERAGE FINISH_______________
HOW MUCH TIME SINCE YOUR LAST SERVICE______________
PARTS SHIPPED SHOCK-FORKS-CYLINDER-HEAD-CARB-COMPLETE MOTOR
WORK TO BE
PERFORMED ____________________________________________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________
RETURN SHIPPING UPS GROUND-3 DAY-2 DAY-NEXT DAY DELIVERY
ARE YOU A REPEAT CUSTOMER?_____________
IF NOT, HOW DID YOU HEAR ABOUT
PRO-ACTION?_________________________
Pro-Action of Kentucky, 6550 Crofton Fruithill Rd., Crofton,
KY 42217, 270-269-8967