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PERFORMANCE KIT REGISTRATION

EPI is consistently testing our products. Sometimes there is a need to contact users with new
technical information. Please complete and submit this form as soon as possible
to ensure that you will receive this information.

First Name:   ..      
Last Name:

Billing Location:

      Shipping Location (if different):
Address:     Address:  
City:     City:  
State:     State:  
Zip:     Zip:  
Home phone: ( ) - -
Daytime phone: ( ) - -
E-mail address:   (for confirmation receipt)
Model:
Year:
Engine modifications (if any):
Pipe manufacturer:
Normal riding elevation:
EPI Part number of kit:
Dealer purchased from:
Dealer City:
Dealer State:
Dealer Zip:
Dealer Phone: ( ) - -
Date Purchased:

* required fields in red