Hope Personalized Rotor Order

Please print, fill out and fax this form to...
USA - 909-845-4467
UK - 01282-851-201

Ship To: ____________________________________
  ____________________________________
Tel: ____________________________________
Name: ____________________________________
Credit Card: ____________________________________
Exp Date: ____________________________________
Brake Model C2-----Mini-----M4/E4/DH4
Rotor Diameter _________________________________
Bolt Pattern _________________________________
Quantity _____________________________

Please write text around the disc as required.
 

Please limit your letters to 32
Four bolt rotors available. Please inquire.

Signed: __________________________
Date: __________________________