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NOTE: If you have not yet secured your service appointment time prior to submitting this form, contact the Longhorn Parts Department or Longhorn Dynamics Team at (704) 859-5599 and confirm availability.

Team Name*

Contact Name*

Email*

Phone*

Street Address*

City*

State*

Zip*

Shock Brand*

Bilstein

Penske

Integra

Fox

Other

Number of Shocks*

Pre-Scheduled Date (Must confirm with Longhorn prior to submitting.)*

Service Requests*

Date Needed By (In-Hand)*

I approve Overnight Shipping (if required).

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