Order Form

ORDER FORM

To Purchase A TURNER BRAKE Kit:

Please fill out the Ordering Form Below

Quantity	Part #	Part Description	Price
	5384100	STUDEBAKER AND AVANTI ECONOMY KIT	$229.95
	5384101	STUDEBAKER AND AVANTI DELUXE KIT	$649.95
	4164102	STUDEBAKER TRUCK ECONOMY KIT	$199.95
	4164103	STUDEBAKER TRUCK DELUXE KIT	$549.95
	5384713	AVANTI & CAR ROTOR WITH BEARINGS & SEALS	$125.00
	5384104	LOADED RIGHT CALIPER	$75.00
	5384105	LOADED LEFT CALIPER	$75.00
	5384106	1 PR. BRAKE HOSES WITH WASHERS	$60.00
	4164714	TRUCK ROTOR, BEARINGS & SEALS	$75.00
	4164107	LEFT LOADED TRUCK CALIPER	$75.00
	4164108	RIGHT LOADED TRUCK CALIPER	$75.00
	5364109	DUAL M/CYLINDER BRACKET 53-64 STUDEBAKERS	$139.95
	3152110	DUAL M/CYLINDER BRACKET 52 AND EARLIER CARS	$139.95
	4159111	C-CAB TRUCKS DUAL M/C BRKT	$139.95
	5964112	T-CAB TRUCKS DUAL M/C BRKT	$139.95

5364113	ECONOMY REAR DISC BRAKE KIT *DANA 44 TAPERED AXLES*	$199.95
5364114	DELUXE REAR DISC BRAKE KIT *DANA 44 TAPERED AXLES*	$749.95
5364115	LEFT LOADED REAR CALIPER	$169.95
5364116	RIGHT LOADED REAR CALIPER	$169.95
5364117	REAR ROTOR	$75.00
5364118	REAR EMERGENCY BRAKE CABLE* *CUSTOM MADE FOR YOUR CAR	$65.00

BILLING INFORMATION

Will Pay By,

Money OrderPersonal Check

VISA/MasterCard Discover Amer-Express

Please Check Box

number

exp. date

SHIPPING ADDRESS

    First Name: 
     Last Name: 
       Company: 
Street Address: 
          City: 
         State: 
      Zip Code: 
     Telephone: 
           FAX: 
        E-mail:

Please indicate the year, and model of your Studebaker and if you have drum or disc brakes (for master cylinder kit orders)

 Year, & Model: 
Type of Brakes:

SUBMIT ONLY ONCE

ONCE YOUR ORDER HAS BEEN SHIPPED, I WILL E-MAIL THE UPS TRACKING NUMBER, GO TO WWW.UPS.COM TO TRACK IT!