ABS Core Purchase Form
Please complete and submit the form below. Once you have received authorization number via e-mail, send you shipment to our Canadian address. Payments are issued after shipment has been received.
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XeMODeX
Automotive ABS systems solutions
Inc.
Copyright © 2008 XeMODeX Inc.
Contact Details
Name
Address
City
Province/State
Postal/ ZIP
Country
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia
Botswana
Bouvet Island
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Caicos Islands
Cape Verde
Cayman Islands
Central African Rep.
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote D'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Czechoslovakia
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Sth Ter.
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Great Britain (UK)
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Korea (North)
Korea (South)
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Reunion
Romania
Russian Federation
Rwanda
Saint Kitts - Nevis
Saint Lucia
Samoa
San Marino
Sao Tome - Principe
Saudi Arabia
Senegal
Seychelles
Sierra Leone
Singapore
Slovak Republic
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
St. Helena
St. Pierre
Sudan
Suriname
Svalbard
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tokelau
Tonga
Tobago
Trinidad
Tunisia
Turkey
Turkmenistan
Turks
Tugalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
USSR (former)
Uzbekistan
Vanuatu
Vatican City State
Venezuela
Vietnam
Virgin Islands (G.B.)
Virgin Islands (U.S.)
Wallis and Futuna Is.
Western Sahara
Yemen
Yugoslavia
Zaire
Zambia
Zimbabwe
Phone
E-mail
Qty.
Enter details here...
x $30
Make
Audi
BMW E-39
Units
VW Passat
Volvo 9140773
OEM# 8602265
Saab SID
Volvo
Volvo ETM
Total
Year
1998-2005
1998-2003
Jaguar
1996-2001
1999-2001
1998-2001
1998-2005
1996-2008
x $40
x $25
x $30
x $20
x $30
x $30
1996-1998
x $30
Volvo 9140774
OEM# 8602266
Volvo 9162675
OEM# 8602266
1996-1998
1996-1998
x $30
x $30
Grand Total
$
Questions and Comments
Form of payment
Cash * local pick-up only
Business cheque
Visa
Money Order
Download this form in .pdf* format
***All prices in Canadian Dollars.