Cell Phone:  
Other Phone:

Return Shipping Address:

Email Address (to deliver tracking number)

Method of Payment:
Post Money Order (made out to S.D. Sizemore)
Website/Paypal/Debit or Credit Card
eBay

Gauges malfunctioning (check All that apply):
MPH RPM/Tachometer Oil Pressure Fuel
Battery Engine Temperature Transmission Temperature
Dim Gear Shift Indicator Display PRNDL Bulbs out or Dim Background Lighting

Other (describe):

3751 Main Street, Suite 600, #360 • The Colony, Texas 75056 • www.clusterfixer.com •  214-616-7858