RACE Systems Pre-Pay SnEEC-IV Order Form
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Please complete the information below and mail this form with payment to:

RACE Systems
5208 Roeder Road
San Jose, CA 95111

Customer Information
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Customer Name :  
Address 1     :
Address 2     :
City          :
State         :
Zip Code      :
Daytime Phone :
Evening Phone :
Fax           :
Email Address :

Shipping Instructions
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Please specify which of the following shipping options to use in delivery of your order.

UPS Ground ($13.00) [  ]  
UPS 3-day  ($25.00) [  ]
UPS 2-day  ($34.00) [  ]
UPS 1-day  ($56.00) [  ]

Payment instructions
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Include a check payable to RACE Systems in the amount of $479.00 + shipping.  If you are in California, you must also calculate california sales tax and include that with payment.  Orders within california not including sales tax will be held until full payment is recieved.

SnEEC-IV Requirements
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Ford Vehicle Model :
Year               :
Engine description :

Special Instructions
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Please use this space to specify any special information or instructions about your order.

Please note; if orders are recieved for vehicles that are not currently supported, a delay or cancellation of your order could occur.  Please resolve these issues via email before placing your order by contacting Byron@RaceSystems.Com.