356 A/B Fuel Pump Parts Order Form
To place an order by mail or PayPal
Please print this form, fill out and send with payment
356 A/B Pump rebuild: $200.00 each Qty:______ _______
You will need to send old pump / 's with payment
356 A/B Pump rebuilt no core: $350.00 each Qty:______ _______
* 356 A/B Fuel screen kit: $7.50 each Qty:______ ________
356 A/B Flange gasket-shim Set: $6.00 each Qty:______ _______
356 A/B diaphragm rebuild: $22.00 each Qty:______ _______
You will need to send old diaphragm / 's with payment
356 A/B Diaphragm spring: $10.00 each Qty:______ _______
356 A/B rocker pin: $10.00 each Qty:______ _______
356 A/B Valve retainer gasket: $2.00 each Qty:______ _______
Flange to case O' ring: $3.00 each Qty: ______ ________
356 A/B OEM Cone Top: $25.00 each Qty:______ ________
* 356 A/B Rebuild Kit: $45.00 each Qty:______ ________
Reproduction blinker wiring cover: $14.00 each Qty: ______ ________ Reproduction blinker switch: $150.00 each Qty: ______ ________
B/C blinker switch screw set: $6.00 each Qty: ______ ________
Shipping and Handling: Only one S/H fee per order Parts Domestic S/H: $5.00
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 *
