Ship To: Duffield Cycles 11186 Welsh Run Rd. Greencastle PA 17225
Axle Repair Order fill out and send with your parts
Make___________________________________________________________________________________
Model___________________________________________________________________________________
Size____________________________________________________________________________________
Year____________________________________________________________________________________
Placement of axle you are sending- LR, RR, FR, FL (circle one)
Name___________________________________________________________________________________
Address__________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Phone_________________________________________Cell_______________________________________
Email____________________________________________________________________________________
Description of work to be
done_________________________________________________________________
_________________________________________________________________________________________
________________________________________________________________________________________
Other
Notes_______________________________________________________________________________
________________________________________________________________________________________
_________________________________________________________________________________________
_________________________________________________________________________________________
Ship your parts to the address above, when we receive your parts we will make and inspection of the parts and call or email you with a quote to repair.
Billing information will be handled when we call you with the quote. VISA/MC/Money Order/Checks must clear with bank before shipment but are accepted.