Request for Brochure Form

f.marx
Copyright © 1999 [Marx Parts LLC]. All rights reserved.
Revised: 01/27/12

Contact_FullName:

Joel Crawford

Contact_Title:

Mr.

Contact_Organization:

Contact_StreetAddress:

49 pendleton st.

Contact_Address2:

Contact_City:

Brewer

Contact_State:

Maine

Contact_ZipCode:

04412

Contact_Country:

United States

Contact_WorkPhone:

207-217-7965

Contact_HomePhone:

207-217-7965

Contact_FAX:

Contact_Email:

motomaster99@netzero.com

Year:

1950

Make:

Oldsmobile

Model:

76

engine_size:

257

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

12032

Ordering_OrderDesc0:

Intake & Exhaust Gasket set

Ordering_OrderQty1:

Ordering_Order_part_no_1:

Ordering_OrderDesc1:

Ordering_OrderQty2:

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questions:

Date:

Monday November 14, 2011

Time:

12:09 PM -0700

Contact_FullName:

robert matott

Contact_Title:

Contact_Organization:

Contact_StreetAddress:

4305 us 11

Contact_Address2:

Contact_City:

dekalb jct.

Contact_State:

ny

Contact_ZipCode:

13630

Contact_Country:

united states of america

Contact_WorkPhone:

315 347 3351

Contact_HomePhone:

315 347 3351

Contact_FAX:

Contact_Email:

rmatott3@twcny.rr.com

Year:

1947

Make:

desoto

Model:

s11

engine_size:

236.7

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

Ordering_OrderDesc0:

cylinder head gasket

Ordering_OrderQty1:

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questions:

Date:

Thursday November 17, 2011

Time:

03:45 PM -0700

Contact_FullName:

Rich Rodgers

Contact_Title:

Contact_Organization:

Paris Motors

Contact_StreetAddress:

1730 Old Hwy 79

Contact_Address2:

Contact_City:

OFallon

Contact_State:

Missouri

Contact_ZipCode:

63366

Contact_Country:

USA

Contact_WorkPhone:

6363452099

Contact_HomePhone:

Contact_FAX:

Contact_Email:

fishn@centurytel.net

Year:

1929

Make:

Plymouth

Model:

U

engine_size:

4 Cyl

Ordering_OrderQty0:

5

Ordering_Order_part_no_0:

DR 1

Ordering_OrderDesc0:

points arm

Ordering_OrderQty1:

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questions:

USPS small priority box shipping would be great

Date:

Sunday November 20, 2011

Time:

03:34 PM -0700

Contact_FullName:

Rich Rodgers

Contact_Title:

Contact_Organization:

Paris Motors

Contact_StreetAddress:

1730 Old Hwy 79

Contact_Address2:

Contact_City:

OFallon

Contact_State:

Missouri

Contact_ZipCode:

63366

Contact_Country:

USA

Contact_WorkPhone:

6363452099

Contact_HomePhone:

Contact_FAX:

Contact_Email:

fishn@centurytel.net

Year:

1929

Make:

Plymouth

Model:

U

engine_size:

4 Cyl

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

DR 21C

Ordering_OrderDesc0:

Dist Cap (copper contacts)

Ordering_OrderQty1:

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questions:

If available, shipped with points arms on other quote today

Date:

Sunday November 20, 2011

Time:

03:50 PM -0700

Contact_FullName:

frank dixon

Contact_Title:

Contact_Organization:

Contact_StreetAddress:

13309n 950e

Contact_Address2:

Contact_City:

odon

Contact_State:

IN

Contact_ZipCode:

47562

Contact_Country:

USA

Contact_WorkPhone:

Contact_HomePhone:

812 361-3293

Contact_FAX:

Contact_Email:

scoutmaster481@centurytel.net

Year:

1931

Make:

chevrolet

Model:

1/2 ton truck

engine_size:

194

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

362857

Ordering_OrderDesc0:

electrolock

Ordering_OrderQty1:

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questions:

Date:

Tuesday November 22, 2011

Time:

08:20 AM -0700

Contact_FullName:

david maul

Contact_Title:

owner

Contact_Organization:

bayshore box

Contact_StreetAddress:

204 lakeshore rd

Contact_Address2:

Contact_City:

grafton

Contact_State:

WI

Contact_ZipCode:

53024

Contact_Country:

ozaukee

Contact_WorkPhone:

414 940 7995

Contact_HomePhone:

262 377 5204

Contact_FAX:

263 375 1162

Contact_Email:

bayshorebx@hotmail.com

Year:

1953

Make:

chevy - truck

Model:

3100

engine_size:

216 ci

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

Ordering_OrderDesc0:

oil pan

Ordering_OrderQty1:

1

Ordering_Order_part_no_1:

4519s

Ordering_OrderDesc1:

rear main seal

Ordering_OrderQty2:

Ordering_part_no_2:

Ordering_OrderDesc2:

you offered me a set for $85? does this include these two. Call on 414 #

Ordering_OrderQty3:

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questions:

Date:

Tuesday December 13, 2011

Time:

08:52 PM -0700

Contact_FullName:

Marion Dufon

Contact_Title:

Owner

Contact_Organization:

Contact_StreetAddress:

2983 E. Fountain Rd

Contact_Address2:

Contact_City:

Fountain

Contact_State:

Michigan

Contact_ZipCode:

49410

Contact_Country:

U.S.A.

Contact_WorkPhone:

Contact_HomePhone:

1 231 462 3485

Contact_FAX:

Contact_Email:

MKDufon@hotmail.com

Year:

1928

Make:

Star car four 352806

Model:

M delco remy dist

engine_size:

4Cyl

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

unknow

Ordering_OrderDesc0:

Ordering_OrderQty1:

Ordering_Order_part_no_1:

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Ordering_OrderQty2:

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questions:

Date:

Friday December 16, 2011

Time:

07:20 AM -0700

Contact_FullName:

Marion Dufon

Contact_Title:

Owner

Contact_Organization:

Contact_StreetAddress:

2983 E. Fountain Rd

Contact_Address2:

Contact_City:

Fountain

Contact_State:

Michigan

Contact_ZipCode:

49410

Contact_Country:

U.S.A.

Contact_WorkPhone:

Contact_HomePhone:

1 231 462 3485

Contact_FAX:

Contact_Email:

MKDufon@hotmail.com

Year:

1928

Make:

Star car four 352806

Model:

M delco remy dist

engine_size:

4Cyl

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

unknow

Ordering_OrderDesc0:

Ordering_OrderQty1:

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questions:

Date:

Friday December 16, 2011

Time:

07:20 AM -0700

Contact_FullName:

Marion Dufon

Contact_Title:

Owner

Contact_Organization:

Contact_StreetAddress:

2983 E. Fountain Rd

Contact_Address2:

Contact_City:

Fountain

Contact_State:

Michigan

Contact_ZipCode:

49410

Contact_Country:

U.S.A.

Contact_WorkPhone:

Contact_HomePhone:

1 231 462 3485

Contact_FAX:

Contact_Email:

MKDufon@hotmail.com

Year:

1928

Make:

Star car four 352806

Model:

M delco remy dist

engine_size:

4Cyl

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

unknow

Ordering_OrderDesc0:

distributor cap to fit a delco remy dist # 629 A

Ordering_OrderQty1:

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questions:

Date:

Friday December 16, 2011

Time:

07:25 AM -0700

Contact_FullName:

STIG ANDERSSON

Contact_Title:

Contact_Organization:

USA BILDELAR-VARAOSAT

Contact_StreetAddress:

KARLEBORGSGATAN 17

Contact_Address2:

P.O BOX 19

Contact_City:

NYKARLEBY

Contact_State:

Ei kiitos

Contact_ZipCode:

66900

Contact_Country:

Finland

Contact_WorkPhone:

35867221517

Contact_HomePhone:

Contact_FAX:

35867221475

Contact_Email:

american.parts@multi.fi

Year:

1962

Make:

STUDEBAKER

Model:

LARK

engine_size:

170

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

Ordering_OrderDesc0:

EXHAUST GASKET

Ordering_OrderQty1:

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questions:

Date:

Wednesday December 21, 2011

Time:

02:24 AM -0700

Contact_FullName:

john nolan

Contact_Title:

mr

Contact_Organization:

Contact_StreetAddress:

stonehaven, tubberclair, glasson

Contact_Address2:

athlone

Contact_City:

co. westmeath

Contact_State:

Contact_ZipCode:

000

Contact_Country:

ireland

Contact_WorkPhone:

00353877781517

Contact_HomePhone:

00353906485061

Contact_FAX:

Contact_Email:

jp@nallybros.ie

Year:

1927

Make:

chevrolet

Model:

landau

engine_size:

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

#DR1-2

Ordering_OrderDesc0:

set of points

Ordering_OrderQty1:

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questions:

i am using a carberotor thats not the proper one can i get the exact one to suit

Date:

Saturday January 14, 2012

Time:

01:51 PM -0700

Contact_FullName:

Allan Johnston

Contact_Title:

Mr

Contact_Organization:

Contact_StreetAddress:

22 conte street

Contact_Address2:

Contact_City:

East Lismore

Contact_State:

NSW

Contact_ZipCode:

2480

Contact_Country:

Australia

Contact_WorkPhone:

Contact_HomePhone:

0402836621

Contact_FAX:

Contact_Email:

aldog46@hotmail.com

Year:

1929

Make:

Plymouth

Model:

U model

engine_size:

4 cyl

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

Ordering_OrderDesc0:

Inlet manifold

Ordering_OrderQty1:

1

Ordering_Order_part_no_1:

Ordering_OrderDesc1:

exhaust manifold

Ordering_OrderQty2:

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questions:

Date:

Tuesday January 17, 2012

Time:

01:19 AM -0700

Contact_FullName:

jonathan Horton

Contact_Title:

Mr

Contact_Organization:

Contact_StreetAddress:

level 11

Contact_Address2:

107 north quay

Contact_City:

brisbane

Contact_State:

queensland

Contact_ZipCode:

4000

Contact_Country:

australia

Contact_WorkPhone:

0732113134

Contact_HomePhone:

0738923542

Contact_FAX:

0732362240

Contact_Email:

jhorton@qldbar.asn.au

Year:

1928

Make:

CHevrolet

Model:

AB National

engine_size:

4cyl

Ordering_OrderQty0:

1

Ordering_Order_part_no_0:

316

Ordering_OrderDesc0:

RAKX carburettor kit

Ordering_OrderQty1:

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questions:

Date:

Friday January 27, 2012

Time:

08:24 PM -0700