Wiring Harness Conversion Packing Slip
Name:________________________________________________
Conversion (What engine are you putting into what car): ______________________________________________________
Phone number(s):_______________________________________
Email address:__________________________________________
Return Address:
Method of Payment (check one)
Money Order Enclosed
Money Order mailed separately
Paypal (Paypal address or username:_____________________)
Amount sent: _______________ Paid for Priority Service
How did you hear about us?_______________________________
Notes: