Ural Yankee Bob's Order Form

Please print out this Order Form and write in which products you would like to purchase:

NAME: ___________________________________

ADDRESS 1: ___________________________________

ADDRESS 2: ___________________________________

CITY: ___________________________________

STATE: ___________________________________

ZIP: ___________________________________

COUNTRY ___________________________________

WORK PHONE: ___________________________________

HOME PHONE: ___________________________________

FAX: ___________________________________

E-MAIL: ___________________________________

1. Case screw kits are $14.95 _________________________________
Price _____

2. Timing plate is $5.95 _________________________________

Price _____

3. Drain plugs are $9.95 _________________________________
Price _____

4. Manifolds $21.95 _________________________________
Price ______

5. Ural Sump $125.00
____________

Price_____

6. Ural Sump Gasket $ 6.50 _________________________________
Price _____

7.Soft Copper sealing gasket $ 1.05 _________________________________ Price _____

8. Kehien and Mikuni Carberator screw kits/stock compliance fittings $10.95 for Kehien
$ 9.95 for Mikuni
_________________________________ Price_____

8. Tapered Head bearings $51.95 a set Price _____

Shipping Total__________ _________________________________
Total Price

$_________

For U.S. orders: please add a shipping and handling charge of $2.95 per order and $0.95 for each item ordered.

PLEASE NOTE: International orders: please e-mail Ural Yankee Bob with a list of items you wish to buy. We will send you a shipping quote and payment instructions.