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Your Information: Name: |
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| Address: | |
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| Address line 2: | |
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| City: State: Zip Code: | |
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| Phone: Email: | |
| Phone: 303-730-6060 |
What your ordering: Gearshift Knobs: |
Button Bars: |
| Fax: | Basic, any wood or color: $30 | Miata Logo: |
| 303-730-6425 | Custom Engraved w/lead filling: $45 | M-Edition Logo: |
| Engrave mine, I'll mail it! $15 | Acrylic: $13 Wood: $16 | |
| Car Badges: | Zippo Lighters: | |
| Miata Badge per set: $5 | Miata logo: $25 | |
| MCA Badge per set: $5 | M-Edition logo: $25 | |
| Turbocharged:: $5 | R-Package logo: $25 | |
| Supercharged: $5 | Custom Engraving: $25+ | |
| Visor Gloves: | Knobgloves: | |
| Plain pair: $15 | Miata logo: $15 | |
| Embroidered: $20 | SVT/ATR logo: $15 | |
| Sun Visor Plugs: | Miscellaneous Items: | |
| Acrylic pair: $8 | Miata Lunatic pin: $5 | |
| Wood pair: $10 | Miata Hat pin: $5 | |
| Any logo, text or design: Add $1 | Miata Club pin: $5 | |
| Miata earrings pair: $5 | ||
| Describe in detail any special engraving, colors, or information pertinent to your order: | ||
| Payment Type: | Payment Mailing Address: | |
| Money Order | Quality Images Inc. | |
| Check | 7851 South Logan St. | |
| Littleton, CO 80122-2810 | ||
| All Set? | ||
| Phone: 303-730-6060 | ||
| Fax: 303-730-6425 | ||