Halsey Import Parts Distributing

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Please use this form to email your order information or have this
information ready if calling in your order.
Name *req.
Address
City State Zip
Email Address *req.
Phone *req. FAX

Make *req.
(VW, Nissan, Honda)

Model *req.
(Golf,Civic,Legacy,200SX)

Year *req.

Manufacturing Date
(On driver's door pillar)

Type of transmission: *req.
Manual
Automatic

Air Conditioning: *req.
Yes
No

Please describe the parts you need in as much detail as possible. Use as much space as you need.

Thank you for your order information. We will email a quote back to you as soon as possible.

If you wish to place an order or get a quote on parts, please use the Order Page form.
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If you have any questions you can contact us at:
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Phone (503)256-0182    FAX (503)256-3155