Price List and Order Form

Customer Information

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Address:
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Method of Payment:CheckVisa or Mastercard
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RAMPAGE Motorcycle Lift for Pickups/Freightliner Beds

Total Cost

LIFT COST
TRIKE ADAPTOR
17/32" Drill Bit with 3/8" shank for RAMPAGE Lift	$29.00 NOT NEEDED
CA Residents Add Local Sales Tax
Crate Charge	FREE
Shipping	To Closest Freight Terminal - $265.00 To Commercial Address - $265.00 To Your Home - $365.00
Total Cost

There are 3 ways to submit your order,

• Print a copy of this form and FAX to 530.432.7751, or
• Print a copy and mail to the address below, or
• Call us at 800.828.8281, or 530.432.7758