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 your truck 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 APPROXIMATELY 2-3 WEEKS (from receipt of your deposit)

TO COMPLETE YOUR ORDER. WE DO NOT USUALLY 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, MI, FL, and TN.

*NEW INSTALLERS ARE ADDED AS QUALIFIED. IF YOU ARE NOT USING THE Szmyt ET Hitch installer in NH. PLEASE COMPLETE :

INSTALLER: ________________CONTACT PERSON:________________

ADDRESS_____________CITY_____________STATE ___ ZIP ______

HOURS:_____ TELEPHONE:_________ EMAIL: ___________________

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

The balance + shipping is due prior to pick-up or shipping.

(Sorry, no credit cards)

Please MAIL TO: Henry Szmyt,

PO Box 52, Springfield, NH 03284

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

THE SZMYT ET HITCH, BUILT TUFF FOR A TENDER RIDE!