356 C/912 Fuel Pump Parts Order Form

         To place an order by mail or PayPal

   Please print this form, fill out and send with payment

                 356 C/912 pump rebuild:  $150.00 each  Qty:______            _______

           You will need to send old pump / 's with payment   

        356 C/912 pump rebuilt  no core:  $250.00 each  Qty:______            _______

      

                                       Flange  O' ring:  $3.00 each   Qty: ______           ________

               * 356 C/ 912  Filter screen kit: $7.50 each   Qty: ______           ________

                     * 356 C/ 912  Rebuild kit: $45.00 each   Qty: ______           ________

Shipping and Handling:        Only one S/H fee per order                                                                                            Parts  Domestic  S/H:           $4.00

                                                               Fuel pump Domestic S/H:          $15.00

     ( Outside of USA )   International Air Mail Post ,Contact me

                                                                                    Total $ _______

Please indicate quantity and send payment to :

Doug Feistamel

PO Box 6316

Villa Park IL 60181-5317

USA    

I accept personal checks, money orders and PayPal. US $ only. When payment is received, I will ship first class USPS mail.

For PayPal, simply indicate items and quantity in PP message box, include S/H and Address.  

PayPal account name:     info@type356a.com

I will reply and ship within 3 days. 

Include email address for reply: ____________________________________________________

SHIP TO:

     Your Name __________________________________________________________________

          Address __________________________________________________________________

                         ___________________________________________________________________

Disregard S/H. If item marked, Free Shipping *