ET HITCH ORDER FORM

TO ORDER AN 'ET HITCH' PLEASE COMPLETE THE INFORMATION
FORM BELOW AND MAIL ALONG WITH YOUR DEPOSIT. THANK-YOU

DATE:___________MODEL : The ET Hitch ____ The ET Jr. TSR ____

Standard Color: Glossy Black: _______

Truck Make:__________Model:________ Singled? Yes___No___

Do you have a bed? Yes___ No___ Do you plan one later? Yes___ ??__

CONTACT INFORMATION:

Customer:_____________________________________________________________

Address:_________________________City_________________State_____Zip_____

Telephone:______________________Email:_________________________________

The best time to contact you:______________________

PLEASE ALLOW 2-3 WEEKS TO COMPLETE YOUR ORDER, UNLESS WE HAVE ET'S IN STOCK.

INSTALLATION OF ET HITCHES IS NOT A DO IT YOURSELF PROJECT.

Do NOT attempt to alter, disassemble, adjust or alter the ET HITCH!

WE CAN RECOMMEND AN AUTHORIZED INSTALLER IN AZ, KS, MS, NC, NH, TX, NV, WI, Can.,

IF NOT HAVING IT INSTALLED BY a Szmyt ET Hitch installer in NH. ~ ~ ~ ~ ~ ~ ~

INSTALLER: ______________________________Contact Person:____________________

ADDRESS:_________________________CITY_____________STATE _______ZIP________

IS A FORK LIFT AVAIALABLE?______ HOURS / DAYS OF OPERATION:__________________

TELEPHONE:__________________ EMAIL: __________________________________

Mail the completed order form and deposit of $1000. payable to Henry Szmyt

The balance + shipping is due prior to delivery or shipping. (Sorry, no credit cards)

MAIL TO: Henry Szmyt, PO Box 52, Springfield,NH 03284

Thank-you AND Welcome to the Family of Happy ET Owners!

the ET HITCH, BUILT TUFF FOR A TENDER RIDE!

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