4136 W. 6940 N. Road, Bourbonnais, IL 60914 Toll Free 877-850-5114 / 815-936-6277 / Fax 815-936-9913 [email protected] / www.mx-tech.com Name: ____________________________________________________________________ Address: _________________________________________________________________ City: _______________________________________State: ___________ Zip: _________ Daytime phone: ______________________ e-mail address: ________________________ Year_______ Make_________________ Model _________________T-shirt Size_______ Rider Weight with gear: ___________without gear: __________height: _____________ Riding Ability: □ Beginner □ Novice □ Intermediate □ Pro □ Vet Track Type: □ Motocross □ Enduro □ Desert □ Hare Scramble □ Dirt track □ GNCC □ Supercross □Arenacross □ Supermoto Predominant Soil Type: □ Hardpack □ Loam □ Sandy □ Roots □ Rocks Fork Service Requested*: □ Fork Rebuild: Service, Clean & Polish set, SKF Fork Seals, Inner & Outer Bushings, Midvalve Service Kit, Fluid $291.60 □ Premium Fork Revalve: Revalve, Clean & Polish Set, SKF Fork Seals, Inner & Outer Bushings, Fluid (fork spring not included) $370.00 □ Focused Rebuild & Revalve** $175.00 □ PSF to SFF Conversion – CRF 450 & KX 450 $998.00 □ WP 4CS Cartridge System $700.00 □ “Huck Valve” Speed Sensitive (WP requires new fork springs) □Bottoming Control System $500.00 □ Fork Spring □ SKF Fork Seals, Inner/Outer Bushings □ MXT Sub-valve for WP forks □ Fork Rebound Separator □ DLC Fork Coating $109.00 $120.00 $100.00 $50.00 $500.00 Shock Service Requested*: □ Shock Rebuild: Service, Clean & Polish shaft, MXT LFPR, Complete SKF Seal Head, Fluid (Bladder, Bumper add’l $25 each) $219.35 □ Premium Shock Revalve: Revalve, Clean & Polish Shaft, MXT LFPR, SKF Seal Head, Fluid (shock spring not included) $353.00 (except PDS) □ Focused Rebuild and Revalve** $175.00 □ KTM PDS Revalve and rebuild with MXT needle & platform valve $450.00 + $149 (PDS Spring) □ MXT WP Shock Huck Valve 2011-14 KTM Link $425.00 □ Shock Spring □ Head Check Digressive Shaft Jet □ MXT Shaft Jet, Check Valve System $109.00 (PDS $149) $200.00 (KYB, Showa, WP) $49.00 (KYB, Showa) □ SKF Wheel Seal Kit-Front □ SKF Wheel Seal Kit-Rear $27.60 $27.60 □ Please call to confirm □ Perform service as needed, it is understood additional parts may be necessary *Pricing does not include tax, shipping, insurance or shipping carton (if required). **Service Only. Parts not included ***Gun Cases have an additional $10 fee for shipping. When shipping, DO NOT INCLUDE pinch bolts, fork guards, quick bleeders or starting devices. Payment Method COD (Money Order / Bank Check) Credit Card (□Visa □MC □Discover □AMEX) ____-____-____-____ Exp. Date: _ _ ∕_ _ cvs _ _ _ Card Number: Name & billing address if different________________________________________________ Requested Return Date: ___________ Additional Comments: __________________________________________________________ ____________________________________________________________________________ _____________________________________________________________________________