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

            Service Order Form   (Print and include inside Shipping Box)

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.