Electronic Turn Signal Kit Order Form Please enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Street AddressCity *State *Zip *Contact NumberComment or MessageI want to be contact by:EmailTelephoneYou will call us (don't contact me)Type of Vehicle - $149.00Early Model (61-64)FC (61-63)Add 4 Way Flashers (Add $20.00)CoreYes, I am providing CoreNo, I am NOT provding Core (Add $40)How do I pay? We accept *PayPal, Venmo, Zelle and checkSend me an Invoice for the total amount.If you prefer to send a check, let us knowI have read the below Legal and Warranty Section, understand and agree. *I AgreeYou must agree to the Legal and warranty Section to continue. MessageSubmit