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Name:
 
Car Model & Year
Address:
 
City: State: Zip Code:
 
Day Phone:
Evening Phone:
 
E-mail address:
       
Best time to call Daytime   Evening
 
Select one of the following:
I would like a quote.
I would like to get more information
I want to buy

Select one of the following:
Quarter Stick Front Exit
Quarter Stick II Rear Exit
B&M Pro Stick
 

For Shifter Cover, Wing, Dash, or Other
Select one of the following:
Black Anodized
Polished
Brushed Aluminum

Select one of the following:
Beaded Sides
Bowtie Sides
 

   
Select one of the following:
Complete Interior
Back Half Only
Dash Only
Wing
Under the Hood
See Details (Enter Below)
Select one of the following for components being shipped:
Standard Size (60" width, 14" deep, and 5 1/2" face)
Note: All dashes come with built in 2" wire tray, end caps, rivets, and braces)
Custom Size -
(Note: please enter the size, holes, beads, etc. in the information area below)

Please give us as much information as possible:

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