REPAIR / ORDER FORM
REPAIR / ORDER FORM
SUPERCHARGER REPAIR / PARTS Order Form / All Services Mail Order ONLY:
Please print / ship, via U.S.P.S. only, (NOT UPS – they cannot ship to a P.O. Box),
with check or money order, payable to: “L. MANESS”,
P.O Box 221, Palmer, TX, 75152— Please EMAIL Tracking #, so we know it’s coming !
NAME:_____________________________________________
ADDRESS: __________________________________________
City/State/ZIP:_______________________________________
PHONE#:___________________________________________
EMAIL:_____________________________________________
Make/Model:_________________________________________
Description of PROBLEM/DESIRED REPAIR AND/OR PARTS needed:_________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
Repair Cost (if known at time of shipping) / Amount sent $ ______________
By signing this form I hereby recognize and agree to the following. All sales are FINAL. NO refunds. Prices subject to change without notice. All items and services are sold and performed AS-IS. It is recommended for you to REMOVE ALL ACCESSORIES, pulleys, brackets, etc. You may leave them on if you like, but we ARE NOT responsible for lost or damaged accessories ! L. Maness is NOT RESPONSIBLE for any damage to parts of any kind, due to a failure of any kind. All parts are aftermarket, experimental performance parts, intended for use on off-road vehicles only. NO WARRANTIES expressed, nor implied. BUYER ASSUMES ANY AND ALL RISK. Parts are not guaranteed as fit for any particular purpose. Any parts that may be sold or installed are not manufactured by L. Maness and therefore is not liable for any part failure of any kind, resulting damage from any part failure, or damage or failure due to misuse. All attempts will be made to complete work in a timely manner, but delays can occur that are out of our control, so no guarantees are made regarding definite completion dates. This is your receipt/statement of work. Not responsible for items lost or damaged in shipping. Test / use / inspect item immediately upon receipt. Minimum inspection and return shipping fee $200, if you send in your unit for repair and then decide not to have us complete the repair work you orignally requested. Please email for any other questions, ahead of time, if you want to discuss a special case. Any shortages or concerns must be reported within 3 days of receipt. Any item(s) left over 60 days, with no contact, is abandoned property in Texas.
Signature:____________________________________________ Date:_________________