Project Request Form

Restoration Wait List
Step 1: FIRST - Complete the form below.
Your Name*

First NameLast Name
Company Name
Company Website
Your E-mail Address*
Phone Number*

Area CodePhone Number
Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry
Previous Customer?*

YesNo
How did you hear about us?*

Word of MouthAmazon.comAlienEnclosures.comCar ShowCar ClubClassicAutoAir.comCatalogCJ PonyeBay.comFacebook.comForumsFriendGoogle.comGraveYardCarzInstagram.comMagazineNational Parts DepotPinterest.comYahoo.comYouTube.comOther
Car Information*

YearMakeModelEngine & Trim
Who will be doing final installation?*

MyselfMechanicOther
Parts Requesting to be Restored*

Entire System (all components listed below)CompressorCondenserDrier/AccumulatorHosesPOA ValveExpansion ValveSuction ValveEvaporatorSpecialized Labor or Fabrication (charged at hourly rate)Other
Refrigerant*
Special Notes - What else do we need to know about your project?
Judging Car? Car Show Deadlines, Preferred Complete Dates, etc
Level of Authenticity Desired*

1. I want my a/c to look as close to original as possible for show.2. I want my a/c to be ready for show, but I don't care about originality.3. I want my a/c fixed as inexpensively and quickly as possible.4. Survivor car - make it functional but keep original patina
Enter the message as it's shown*
Final Instructions:

Step 2. Once you click the "Submit" button, you will receive an email with a copy of this completed form.

* PLEASE NOTE - DO NOT SEND YOUR PARTS IN TO OUR SHOP UNTIL we have confirmed that we have a slot open in our Production Schedule for your project otherwise your parts will be sent back to you*

Step 3. We are monitoring this list and will follow up with you directly when we have a spot open in our production schedule for your project.

Step 4. Once we reach out to you and confirm the scope of the project, we will send you a list of next steps and mailing instructions to ensure your parts arrive safely and intact.
DateTime
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Restoration Wait List