8.5"T&B X 11"S SHIP TO:
CROCKETT SOUND LABORATORY
TonyMac Crutchfield
704 HWY 54 SOUTH
ALAMO,TN.38001-4442
Mac@WonderBarMan.com
(731) 696-4163

Return Shipping Information:
Name: _________________________
Address: _________________________
City State_________________________ZIP CODE_ _ _ _ _-_ _ _ _
Email: _________________________
Daytime Phone: _________________________
Restoration desired: Survivor() Driver() Custom Hot~Rod()
Make:
Model:
Year:
AM() FM() Stereo() 8 Track Tape() WonderBar() PushButton()
In car() New find()
Bezel Cosmetology: Yes() No() Sending New Chrome() Fee determined by work to be done.
Any known problems, Special Details:
Work Requested outside Basic Electronic Restoration:
New items wanted:
List Contents of shipment:

CHECK INCLUDED FOR ABOVE WORK AND ACCESSORIES. I AGREE TO CSL TERMS OUTLINED ON WORK ORDER PAGE.
SIGNATURE __________________________ How did You find me?