FIVE EASY STEPS TO PACKAGING                                       PRINT THIS FORM                 CLOSE WINDOW 

Step 1: Wrap each single injector in a paper towel, newspaper or bubble wrap.

Step 2: After you have wrapped each injector, place in a zip lock or paper bag, so that they are not misplaced.

Step 3: Prepare your shipping box with newspaper, bubble packaging, or Styrofoam peanuts.

Step 4: Add packaging material, injectors, and more packaging material, place shipping form on top.

Step 5: Seal box & Ship to:

ACCURATE INJECTOR SERVICE
733 Little DR.
LAKE HAVASU CITY, AZ 86406

** BE SURE TO INCLUDE YOUR RETURN ADDRESS ON SHIPPING FORM AND ON THE BOX.

** An Accurate IS representative will contact you upon receiving your injectors to arrange for payment.


SHIPPING FORM (print then fill out this form and include with shipped injectors)

PAYMENT METHOD MC___ Visa___ PayPal___ Money Order___

Name _____________________________________________________________ Date   ______________

Shipping Address  ________________________________________________________________________

City ________________________________________ State_________  Zip Code_______________

Phone  ___________________________                    Email    _____________________________

(Optional) Acct. No.________________________     Exp. Date___________________________

Shipping Method:   Priority (2-4 Days $10.00) ____     Express (1-2 Days $25.00) ______

I agree to pay according to card issue agreement:______________________________________________

(Must be signed for credit cards)                                                            Signature

If paying by credit card be sure to include your credit card info and sign the credit card authorization on the information sheet. Not providing this information may delay shipping your injectors back to you.

                                                  VEHICLE / INJECTOR INFORMATION

 Year & Make of Vehicle __________________________  Model ____________________________    


Engine Size: _________________________

Additional Instructions_______________________________________________________________________

_________________________________________________________________________________________

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