PowerHaus On-Line Order/Information Form
*Required Information
Contact Information Section
*
Name:
Street Address:
Street Address Cont.:
City:
State/Province:
Country:
Postal Code:
*
Phone No:
Fax No:
*
E-mail:
Parts Information/Order Request Section
This order/information form is for:
Ordering Parts
Information Only
Vehicle Type:
930/All Turbo
C2T/3.6T
993 Twin Turbo
944 Turbo
968
911SC
911 Carrera
Carrera 2/4/RSA
993 C2/S, C4/S
996
Boxter
944
Year of Car:
Which Engine?
Part/Info Requested:
(enter information below)