VEHICLE INFORMATION:
Manufacturer / Make:
AMC
Buick
Cadillac
Chevrolet
Chrysler
Dodge
Ford
GMC
Hummer
International
Jeep
Lincoln
Mercury
Oldsmobile
Plymouth
Pontiac
other US make
foreign make
Model (i.e. "Firebird "):
Version (i.e.
"Limited "):
Body:
Sedan 4-door
Coupe 2-door
Convertible / T-Top
SUV 2-door
SUV 4-door
Compact Hatchback 2-door
Compact Hatchback 4-door
Van / Conversion Van
Pick Up
RV
other bodystyle
Identification/ VIN
(please fill in the complete VIN)
the VIN (Vehicle Identification Number)
is usually imprinted underneith the windshield on the driver's side
Modelyear
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
pre 1955
Engine (no. of cylinders):
4
6 straight
V6
8 straight
V8
V10
V12
16
other
Engine cui / or ccm :
Transmission:
Automatic 3 Speed
Automatic 3 Speed + Overdrive
Automatic 4 Speed
Automatic 4 Speed + Overdrive
Automatic 5 Speed
Automatic 5 Speed + Overdrive
Automatic 6 Speed
Automatic 6 Speed + Overdrive
Manual 3 Speed
Manual 4 Speed
Manual 5 Speed
Manual 6 Speed
Electronic Shifter
other
This particular vehicle is an
Export-Version (equipped for non north-American market)
Original-Version (regular US or Canadian version)
If
your car has been equipped with modification which should be reviewed
when searching for the requested parts, please list these modifications
here precisely:
REQUESTED PART(S) INFORMATION
Name
or description of each part/ OEM or aftermarket manufacturer part
no./ number
/
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>21
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>21
SHIPPING INFORMATION
Billing
Address : Country
USA
Australia
Austria
Belgium
Canada
Croatia
Czech Republic
Finland
France
Germany
Great Britain
Holland
Hungary
Ireland
Isreal
Italy
Japan
Liechtenstein
Luxembourg
New Zealand
Norway
Poland
Portugal
Romania
Russia
Slovakia
Slovenia
Turkey
Ukraine
other country
Name:
Street / No.:
ZIP / Town:
State (only US)
Shipping
Address : Country
USA
Australia
Austria
Belgium
Canada
Croatia
Czech Republic
Finland
France
Germany
Great Britain
Holland
Hungary
Ireland
Isreal
Italy
Japan
Liechtenstein
Luxembourg
New Zealand
Norway
Poland
Portugal
Romania
Russia
Slovakia
Slovenia
Turkey
Ukraine
other country
(fill in only if different
to billing address)
Name:
Street/ No.:
ZIP / Town:
State (only US)
Shipping Method:
USPS Priority
USPS Economy
Express Mail
the fastest
the cheapest
We can contact you:
by phone under:
(please list country- and area-code)
when:
during the day
08:00-12:00 (08am-12am)
12:00-14:00 (12am - 02pm)
14:00-16:00 (02pm - 04pm)
16:00-18:00 (04pm - 06pm)
18:00-20:00 (06pm - 08pm)
20:00-22:00 (08pm - 10pm)
22:00-24:00 (10pm - 12pm)
00:00-04:00 (12pm - 04am)
04:00-06:00 (04am - 06am)
06:00-08:00 (06am - 08am)
anytime
(of your local time)
on your mobile:
(please
list country- and area-code)
when:
during the day
08:00-12:00 (08am-12am)
12:00-14:00 (12am - 02pm)
14:00-16:00 (02pm - 04pm)
16:00-18:00 (04pm - 06pm)
18:00-20:00 (06pm - 08pm)
20:00-22:00 (08pm - 10pm)
22:00-24:00 (10pm - 12pm)
00:00-04:00 (12pm - 04am)
04:00-06:00 (04am - 06am)
06:00-08:00 (06am - 08am)
anytime
(of your local time)
by fax no.:
(please
list country- and area-code)
E-Mail to: