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<!-- Content --><font face="arial,helvetica,times">
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<P><font size="6" face="Geneva, Helvetica, Arial, Times, Sans-Serif" color="#000000"><IMG SRC="/pool/images/2000/title_service_parts.gif" ALT="Parts Order Form" BORDER="0"></font></P>
<P><font class="body">Use this form to request information and pricing from our Parts Department. Fill in the fields below with the information requested and our Parts Professionals will contact you and locate the part you are looking for.</font></P>
<P></P>
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<table width=100% border=0 cellspacing=5 cellpadding=0>
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<td align=left valign=top bgcolor="#DCDCDC"><img src="/pool/images/2000/1.gif"></td>
<td height=25 width=100% align=center valign=center nowrap bgcolor="#DCDCDC"><b><font class="headline">Vehicle Information</font></b></td>
</tr>
</table>
</td>
</tr>
</table>
<!-- ************************* VEHICLE INFORMATION ********************* -->
<table border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Manufacturer: </font></font></td>
<td align=left valign=center><font class="body"><input name="make" value=""></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Year: </font></font></td>
<td align=left valign=center><font class="body"><input name="year" value="" size=5 maxlength=4></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Model: </font></font></td>
<td align=left valign=center><font class="body"><input name="model" value=""></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Miles: </font></font></td>
<td align=left valign=center><font class="body"><input name="miles" value=""></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">VIN Number: </font></font></td>
<td align=left valign=center><font class="body"><input name="VIN" value=""></font></td>
</tr>
</table>
<!-- *************************** END VEHICLE INFORMATION *************** -->
<table width=100% border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=center valign=center>
<table width=100% height=25 border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=top bgcolor="#DCDCDC"><img src="/pool/images/2000/2.gif"></td>
<td height=25 width=100% align=center valign=center nowrap bgcolor="#DCDCDC"><b><font class="headline">Parts Information</font></b></td>
</tr>
</table>
</td>
</tr>
</table>
<!-- *********************** Begin Parts Information *************** -->
<table border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Item:</font></font></td>
<td align=left valign=center nowrap><font class="body">Part Number:</font></td>
<td align=left valign=center nowrap><font class="body">Part Description:</font></td>
</tr>
<tr>
<td align=left valign=center><font class="hidden">*</font> <font class="body">1</font></td>
<td align=left valign=center><font class="body"><input name="number1" value="" size=20></font></td>
<td align=left valign=center><font class="body"><input name="description1" value="" size=40></font></td>
</tr>
<tr>
<td align=left valign=center><font class="hidden">*</font> <font class="body">2</font></td>
<td align=left valign=center><font class="body"><input name="number2" value="" size=20></font></td>
<td align=left valign=center><font class="body"><input name="description2" value="" size=40></font></td>
</tr>
<tr>
<td align=left valign=center><font class="hidden">*</font> <font class="body">3</font></td>
<td align=left valign=center><font class="body"><input name="number3" value="" size=20></font></td>
<td align=left valign=center><font class="body"><input name="description3" value="" size=40></font></td>
</tr>
<tr>
<td align=left valign=center><font class="hidden">*</font> <font class="body">4</font></td>
<td align=left valign=center><font class="body"><input name="number4" value="" size=20></font></td>
<td align=left valign=center><font class="body"><input name="description4" value="" size=40></font></td>
</tr>
</table>
<!-- *********************** End Parts Information *************** -->
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<tr>
<td align=center valign=center>
<table width=100% height=25 border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=top bgcolor="#DCDCDC"><img src="/pool/images/2000/3.gif"></td>
<td height=25 width=100% align=center valign=center nowrap bgcolor="#DCDCDC"><b><font class="headline">Additional Information</font></b></td>
</tr>
</table>
</td>
</tr>
</table>
<!-- *********************** Begin Message *************** -->
<table border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Message Text:</font></font></td>
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<tr>
<td align=left valign=center><font class="body"><textarea name="message" cols=65 rows=4 wrap=virtual></textarea></font></td>
</tr>
</table>
<!-- ****************** End Message ********************** -->
<table width=100% border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=center valign=center>
<table width=100% height=25 border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=top bgcolor="#DCDCDC"><img src="/pool/images/2000/4.gif"></td>
<td height=25 width=100% align=center valign=center nowrap bgcolor="#DCDCDC"><b><font class="headline">Contact Information</font></b></td>
</tr>
</table>
</td>
</tr>
</table>
<!-- *********************** Begin Contact Information *************** -->
<table border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Name: </font></font></td>
<td align=left valign=center><font class="body"><input name="name" value="" size=56></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Email: </font></font></td>
<td align=left valign=center><font class="body"><input name="email" value="" size=56></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Home Phone: </font></font></td>
<td align=left valign=center>
<table width=100% border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=center><font class="body"><input name="homephone" value=""></font></td>
<td align=right valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Day Phone: </font></font> <font class="body"><input name="dayphone" value=""></font></td>
</tr>
</table>
</td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Fax: </font></font></td>
<td align=left valign=center>
<table width=100% border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=center><font class="body"><input name="fax" value=""></font></td>
<td align=right valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Preferred Contact: </font></font> <font class="body"><font size="2" face="Geneva, Helvetica, Arial, Times, Sans-Serif" color="#000000"><select name="preferred_contact"><option>Phone Morning</option><option>Phone Midday</option><option>Phone Evening</option><option>Email</option><option>Fax</option></select></font></font></td>
</tr>
</table>
</td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="hidden">*</font> <font class="body"><font class="body">Address: </font></font></td>
<td align=left valign=center><font class="body"><input name="address" value="" size=56></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">City: </font></font></td>
<td align=left valign=center><font class="body"><input name="city" value="" size=56></font></td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">State: </font></font></td>
<td align=left valign=center>
<table width=100% border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=center><font class="body"><input name="state" value="" size=3 maxlength=2></font></td>
<td align=right valign=center nowrap><font class="required">*</font> <font class="body"><font class="body">Zip: </font></font> <font class="body"><input name="zip" value="" size=24></font></td>
</tr>
</table>
</td>
</tr>
</table>
<!-- ****************** END CONTACT INFORMATION ********************** -->
<table width=100% border=0 cellspacing=5 cellpadding=0>
<tr>
<td align=center valign=center>
<table width=100% height=25 border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=left valign=top bgcolor="#DCDCDC"><img src="/pool/images/2000/5.gif"></td>
<td height=25 width=100% align=center valign=center nowrap bgcolor="#DCDCDC"><font class="body"><input type=hidden name=submit value="1"><input type=image src="/pool/images/2000//butt_send_request.gif" border=0></font></td>
</tr>
</table>
</td>
</tr>
<tr>
<td align=left valign=center nowrap><font class="required">*</FONT> <FONT CLASS="small">These fields are required to better process your request</font></td>
</tr>
</table>
</form>
<!-- service-parts.footer.html -->
<!-- /Content -->
<!-- Footer -->
</td>
</tr>
<tr>
<td width="158" height="" align=center valign=bottom bgcolor="#000000">
<table border=0 cellspacing=0 cellpadding=0>
<tr>
<td align=center valign=center><a href="f_index.epl" target=content_win onmouseover="window.status = ''; return true;"><img vspace=0 hspace=0 border=0 alt="Hoehn Honda - San Diego area" src=""></a></td>
</tr>
</table>
</td>
<td width="100%" align="center" valign="bottom">
<table cellspacing="0" border="0" width="100%" cellpadding="0">
<tr>
<td colspan="2" width="65%">
<img src="images/spacer.gif" alt="" width="1" height="30" border="0"><br>
<hr noshade></td>
</tr><tr>
<td>
<p><b>5454 Paseo Del Norte</b><br>Carlsbad, CA 92008</td>
<td width="35%">
<p><table width="100%" cellpadding="0" cellspacing="0" border="0">
<tr>
<td nowrap><p><b>Phone</b></p></td>
<td width="5"> </td>
<td nowrap><p>(760) 438-1818</p></td>
</tr>
<tr>
<td nowrap><p><b>Fax</b></p></td>
<td width="5"> </td>
<td nowrap><p>(760) 438-0317</p></td>
</tr>
<tr>
<td nowrap><p><b>Email</b></p></td>
<td width="5"> </td>
<td nowrap><p><a reframe target=_top href=email.cgi>hoehnmotors@fda.net</a></p></td>
</tr> </table></td>
</tr>
</table>
</td>
</tr>
<tr>
<td colspan=2><img vspace=0 hspace=0 border=0 alt="" src="/pool/images/newhonda/spacer.gif" height=1 width=600></td>
</tr>
</table>
</td>
</tr>
</table>
<!-- /Footer -->
<!-- Copyright 2005, The Cobalt Group, Inc. All rights reserved. -->
<!-- /service-parts.footer.html -->
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