Wiring Harness Conversion Packing Slip

Name:____________________________________________________

Conversion (What engine are you putting into what car): __________________________________________________________

My car is originally (check one):
 Automatic
 Manual

And is:
 Staying Automatic
 Staying Manual
 Being converted from Automatic to Manual

Phone number(s):_________________________________________

Email address:____________________________________________

Return Address:

Method of Payment (check one):

 Money Order Enclosed
 Paid by Credit Card over the phone (404-474-4573)
 Paypal (Paypal address or username:_____________________)

Amount sent: _______________  Paid for Priority Service? (Circle one) Yes   No

From who or what website did you find out about our wiring services?

______________________________________________________________
Notes:

Mail harnesses to: Phoenix Tuning, 11511 Abercorn St Suite 199, Savannah, GA 31419

Please choose which decal you would like:

 12" Phoenix Tuning White (Side window)  12" Phoenix Tuning Black  (Side window)  18" Phoenix Tuning White  18" Phoenix Tuning Black  38" Phoenix Tuning White (Windshield banner)  38" Phoenix Tuning Black (Windshield banner)	 18" "Tweakd" White  18" "Tweakd" Black  None