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Date:Name:
Shipping Address:
City:
Daytime Phone:
Method of Payment (check One) Money Order
State: Zip:
Email or Fax (required)Visa/Mastercard/PayPal*(Hurst customer service will contact you for info)*
*Credit card or PayPal ONLY for customers outside the continental United States.Vehicle Year/Make/Model:Transmission Type:
• Please do not send rods, arms or mounting plates• Set up shifter for racing application yes no• $75 additional charge to re-chrome stick yes no (Mopar sticks: additional charges may apply for shifter handle and bezel)
• Shipping charges $10.50 (UPS Ground- extra charges apply to shipments outside the continental USA)• The charges above cover inspection and replacement of worn parts. Damaged, modified, missing or unusable components are
extra. Excessively rusted or damaged shifters may not be re-buildable. Not responsible for parts that break during disassembly. Call for prices on any Hurst shifter not listed above.***For shifter rebuild service, fill out the form above and email it to [email protected] or Fax to HurstShiftersOnline at 803-548-6918 to request and RMA number- you will be notified of the RMA number. Be sure to write the RMA number on the address label, then send your shifter with a note describing and problems you may be encountering to:
• Hurst Performance-Shifter Rebuild Service1665 Katy Ln.
Fort Mill, SC 29708Fax: 803-548-6918
Please allow a minimum of 6-8 weeks for shifter rebuild services. Actual time may vary based on demand. If you have any questions regarding shifter rebuilds, contact the Hurst Rebuild Department at 803-818-1657 Monday-Friday, 8 AM - 5 PM EST.
HURST SHIFTER REBUILD SERVICE Please fill out the form below before sending in your HURST Shifter. Email it to [email protected] or Fax to Hurst Shifters Online at 803-548-6918 to request and RMA number***. (see below)
FOR HURST OFFICIAL USE ONLY
RMA/Refrence#
PLEASE CHECK THE BOX NEXT TO THE SHIFTER BEING SENT IN FOR REBUILD SERVICE
MANUAL SHIFTERS AUTOMATIC SHIFTERS
Competition Plus Mastershifter 3-speed Street Super/Shifter 4-speed Super Shifter 3-speed
Quarter Stick (all) Pro Matic 2 (all)
V-Matic 2 (all)Street Rod Shifter
Billet Plus (all) Auto/Stick 3 (Auto/Stick 1 & 2 cannot be serviced)
Richmond 5-speed Speedway Super Shifter
Dual/Gate 2 Dual/Gate OEM
Hurst OEM Shifters V-Gate 2 In-Line Shifter Prices are subject to change without notice.
$165.00
$95.00
$175.00
$250.00
$95.00
$175.00
$115.00