Print this form and send it to the address below with your check or money order. 
If you do not have a printer, please include this information written with your order. 

                             The Boss Bushing Press™ Order Form
                                                  Individual Information

Your Name                  ________________________

Your E-Mail Address ________________________

                                                  Mailing Information.
  
Name     ___________________________________________________________

                Please use the following pricing chart to calculate your order:
                                     Pricing effective as of 11/14/10

*$249.95 + $15 shipping
E-mail us at [email protected] or call toll free 866-851-2346 (direct # is 503-336-4228)
Send check, or money order to Dieselboss, Inc. 1308 Tamarack Court SW, Albany OR. 97321