RTR Precision Wheel Lacing, LLC
1045 Foggy Ridge Parkway
Lutz, FL 33559
 (813) 892-6503

            Service Order Form   (Print and include inside Shipping Box)

Buyer pays for shipping both ways. You pay for initial shipping to us, and then we will bill you for return shipping, through Paypal, at cost.

Please Print all information.

                         Date __________________________, 20_ _

                 Full Name ___________________________________________________________

                       Phone ___________________________________________________________

                 Alt. Phone ___________________________________________________________

           Billing Address __________________________________________________________

  Billing: City State Zip ___________________________________________________________

        Ship to: Address ________________________________________________________

Ship to: City State Zip __________________________________________________________

 

Bike Make: _______________________________        Model: _________________________________

         Year: _______________________________          Size: ______________________________
 

(Please prepay using "order form" on website.)

Description of parts you are shipping to us; and what you request to be done.      
 

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 Thanks very much !  Your order will be completed in 7-10 business days.