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.