PARTS ORDER FORM - To order spare parts, complete the form and fax it to our parts department.
	Adventure West Motorsports Inc.      Fax: 604-534-9321
	#306-20560 Langley Bypass, Langley, BC, Canada  V3A 6K8  Tel:604-534-9338					www.adventurewest.net
	Customer Name:				Date:
	Address:				Phone:
					Fax:
	State:		Zip:
	Country:			Email:
	Payment Method:	(circle one)      Visa    /   Mastercard   /  Paypal
	Credit Card Number:				Expiry Date: (mm/yy) __________________
	Name on Card:
	Signature:
	Ship VIA:  (circle one)		Post (Free at $100)    /   UPS Ground    /   AIR Courier
	VEHICLE INFORMATION:		(Please provide us with as much information as possible to ensure proper part compatability)
	Machine Type:	ATV   /  Dirt Bike		Model Number:		Year: _____________
	Manufacturer Name:			Where Purchased:
	Vehicle VIN Number:				(1 VIN number per parts order form)
	PARTS DETAIL
	Reference Number	Description			Qty. Required	Price	In Stock
	OFFICE USE ONLY:
	Order will ship complete on:		Parts Total:		Taxes:
			Shipping Total:		Grand Total: