Hecker101 Order Form

Click for info on Hecker101 parts + online price list

We accept Visa and Master Card and prepayment by direct bank transfer or bank check in DKK (Danish Kroner) or US$. In case of prepayment we will contact you with bank details and the total amount when we have packed and weighed your order.

Hecker101 Order Form:
¤ USA & Outside Europe ¤
(European Order Form)

I will prepay my order

Please choose payment method: prepayment or credit card (X)

Please note: Orders over US$1000 must be prepaid.

Please charge my credit card

VISA

Master

Ground

Air Mail

Express

Please choose
preferred shipping method (X)

Card number

Exp. date

Signature

Model & year of Indian:

Name:

Street Address:

City, Postal Code:

State, Country:

Fax:

Phone:

Email:

Print this page and fax it to (+45) 3828 4161
Or post it to Indian Parts Europe, Sparresholmvej 14, DK-2700 Bronshoj, Denmark

Part No.	Pcs.	Description

More parts? Click here for Order Form Page Two