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Melrose T-Top Corvette Roof Re-lensing Order Form
Date__________________
Order# or RGA#________________________
Replace lens with- Factory Blue Tint_______ Factory Bronze Smoke Tint______ No Preference______
Replace Side Gaskets ($30ea Side) - Yes_____ No______
Please contact us at any time should questions or concerns arise (815)758-2783
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Corvette Roof Re-lens service Date__________________
From____________________________________ | To: Melrose T-Top |
________________________________________ | 100 W Ellwalk |
________________________________________ | Cortland. IL 60112 |
________________________________________ |
Phone#____________________ Email -for tracking#_______________________________ RGA# or Order#_______________
Replace lens with- Factory Blue Tint_______ Factory Bronze Smoke Tint______ No Preference______
Replace side gaskets ($30ea installed) - Yes_____ No____ Payment enclosed _______Call me for CC# upon completion_______
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