| Name: |
_____________________________________________ |
| Address: |
_____________________________________________________________ |
|
City: |
_________________ |
State/Prov: |
______ |
Home phone: |
______________ |
| Zip/Postal
Code: |
_________________ |
|
|
Work phone: |
________________ |
| Description |
Amount |
Kit: includes
one-piece front body, hood with hardware, one-piece rear
body,spoiler extension,
headlight buckets,
turn signal lenses and sockets, side marker lights, tail lights
and sockets,
backup light
assembly, headlight covers with hardware, air intake deflector,
smooth fuel filler door,
epoxy, hardware, and
build manual: |
$ 6,500.00 |
| Le Mans style fuel
filler: |
289.00 |
|
_______ |
| Short-throw shifter (stainless) |
149.00 |
|
_______ |
| Gated shifter: |
CALL |
|
_______ |
| Modified steel
wheels: |
CALL |
|
_______ |
| Nardi steering wheel
and hub (Classic): |
CALL |
|
_______ |
| Alloy pedals: |
NLA |
|
_______ |
| Wood dash kits: |
CALL |
|
_______ |
| Special requests: |
|
|
|
| |
|
|
|
|
|
|
|
| Crating: |
|
|
250.00 |
| Shipping (FOB
Bremen, IN): |
|
|
_______ |
|
Total order: |
$________ |
|
50% deposit
enclosed - Check # ______ in amount of: |
$________ |
|
Balance due prior
to shipment: |
$________ |
____________________________________________
Signature |
____________________
Date |
| Price sheet
effective April 11, 2008, subject to change without notice |
|
|
|
|
(c) 2004-2008 Simpson Design &
Development |
|
6828 Twin Cedars Drive,
Clinton, WA 98236
Tel:(360) 321-4122 |
|
