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Service Request Form

A form for submitting a restoration request in which the customer indicates to part, make of vehicle and desired service to the part being submitted to D&M Restoration. You can submit this to us for our record but also print it off and include with the part(s) you are submitting for restoration and repair.

First and Last name of customer or name of company

Please indicate your shipping address so we will have a clear record of where we can ship back your restored part.

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Provide a short sentance describing the work you want done

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name of part - i.e. tachometer, odometer, etc.

Please use this area to further describe the nature of your request.