Sales and Tech

1-916-853-9738

 

CenterStand Order Form

 
 
Please fill out this form, then press submit for sending this form by secure e-mail.
Or print and fax it to us at: 1-916-404-4894

Please select CenterStand model (If you're not sure leave the model blank and we will select the correct stand for you)

Select

Part #

Description

 Our Price

  

CenterStand Lift

$119.95

  
   

 

Motorcycle Information

Year   Make   Model  

Please provide your shipping information

Please select a shipping option Each Item

 
 

SHIPPING ADDRESS

Name

Address 1

Address 2

City

 

State/Province

Zip/Postal code

Country

Phone

E-mail

 

 

Please provide your payment information

Credit card

Cardholder name

Card number

Exp. date

CVV number  (what's this?)
 

BILLING ADDRESS OF CREDIT CARD  Same as shipping

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

Special Instructions

Promo Code

Where did you hear about the CenterStand? 

Don Shalla Enterprises/CycleLifts Div.
3319 Fitzgerald Road Suite #12  Rancho Cordova, CA 95742
Tel: (916) 853-9738 E-mail