Literature/Model Request Form

Please print out and mail the following information along with a check for the correct amount to order the items listed below.

Your full name
Address
City, State & Zip
Area & Phone #
Please check the items you wish sent:

	1. 25 Min.Video Tape-VHS only	$30.00
	2. Technical Info Pak - 40+pgs. Installation dwg., magazine articles, photos, & technical data	20.00
	3. Plastic Dyna-Cam Power Cycle Display model (2"x2"x 3")	20.00
	4. Deluxe Brochure (included in Tech.Pak above)	5.00
	5. For shipping to Canada & Mexico for two or more items.	10.00
	6. For shipping for all other foreign countries add:	15.00
Special handling and shipping charges: Delivery is responsibility of U.S. mail and depends on accurate legible addresses written in English. Dyna-Cam cannot guarantee delivery on any items ordered. To better guarantee your shipment will arrive, include payment for UPS or FedEx.
	7. You may identify and pay for any special shipping services like Fedex or UPS. For shipments outside the U.S., foreign checks must be payable at U.S. banks in U.S. dollars with imprinted electronic codes on bottom of check or be a U.S. Dollar money order. Checks are subject to a 7 day delay for bank clearance. To avoid delay you should use a U.S. or International Money Order.	_________
Total check, payable to Dyna-Cam, for above items = Print out the above form and mail along with your check to: Dyna-Cam Engines P.O. Box NONE-old address TorranceCA 90505-0159		$_________

Thank you for your order. Please contact us by email or phone if you have any questions.