Fuel Injection Corp
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R & R Form

R & R Form

    * Required

    PO Number

    Resale Number

    SHIP VIA:*

    QTY

    UNIT

    DESCRIPTION

    UNIT PRICE

    TOTAL

    Testing Fees - this service is an additional fee on top of the R&R fee.

    To:

    Name *

    Company Name

    Street Address *

    City, St Zip *

    Phone *

    Email *

    Ship To:

    Name *

    Company Name

    Street Address *

    City, St Zip *

    Phone *

    Email *

    VEHICLE INFORMATION

    Vehicle Make:

    Vehicle Model:

    Vehicle Year:

    Engine Size:

    Engine Cylinders:

    Number(s) on Part:*

    Trouble Codes Found:

    Description Of Problem:*
    Please provide as much information as possible.

     

    Please print this page out and send in with your part that you want rebuilt. Make sure the part is packaged properly to prevent damage during shipping. You may choose any carrier service to ship your package to us.

    Mail to:
    FIC
    2246 N. MacArthur Dr.
    Tracy, CA 95376

    Contact Us
    • 209-830-6551

    FUEL INJECTION CORPORATION
    2246 N. MacArthur Dr.
    Tracy, CA 95376

     
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