Parts Request Form

      Company Name

      Customer Name*

      Phone Number*

      E-mail*

      Car Manufacturer

      Serial Number

      Did you purchase the car from CGC?

      Billing Address*

      City*

      State*

      Zip Code*

      Electric or Gas Powered? [radio* gas-elec label_first "Electric" "Gas"]

      Parts Needed* (Please provide part #'s and/or description)

      Security Question

      Please check your spam / junk mail if you do not receive a response within 48 hours.