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Demo ACEParts Submission Form This form is the same one you would use as a member.    E-Claims is a web-based interface for any claims office with access to the Internet.  Files can be submitted using our web-based submissions form below, and returned by email.  If you are not paperless you can still fax files to us which we can return by email.  Our flexibility allows us to interface with you in a number of ways combining new and existing technologies to meet the varying needs of our customers.     * Denotes a required field.   Company      Submitted by      ACE #      Office      Phone Number    ()  -   Ext    Fax Number    ()  -    Email Address      State of    Request      City of    Request      *ZIP    of Request      *Vehicle Owner      *Year      Production    Date       *Make       *Model       *Style       Color       *Vin #       *Trim      Air    Conditioning    Select Yes No   Seats    Select Leather Cloth   Engine    Select 4 Cylinder 6 Cylinder 8 Cylinder 10 Cylinder 12 Cylinder    Select Gas Diesel Turbo Turbo Diesel    Engine Size      Transmission    Select Auto 3 speed 4 speed 5 speed 6 speed    Interior Color      Interior Style    Select Bench Buckets 60/40 50/50   Wheels    Select Aluminum Steel    Wheel Design      Wheel Cover    Design      Front    Select Complete Front Complete Front w/glass   Rear    Select Complete Rear Complete Rear w/glass Complete Rear w/roof Complete Rear w/glass & roof   3/4 Front Right    Select 3/4 Front RT 3/4 Front RT w/cooling 3/4 Front RT w/glass 3/4 Front RT w/cooling & glass   3/4 Front Left    Select 3/4 Front LT 3/4 Front LT w/cooling 3/4 Front LT w/glass 3/4 Front LT w/cooling & glass   3/4 Rear Right    Select 3/4 Rear RT 3/4 Rear RT w/glass   3/4 Rear Left    Select 3/4 Rear LT 3/4 Rear LT w/glass   Pick Up    Select Pickup box assemble complete 6' Pickup box assemble complete 8'   Pickup Options    Select Fleetside Fleetside Dual Tank Fleetside Dual Tank & Dual Wheels Fleetside Dual Wheels Flairside Flairside Dual Tank Flairside Dual Tank & Dual Wheels Flairside Dual Wheels Request one part per field - Be detailed   Part 1      Part 2      Part 3      Part 4      Part 5      Part 6      Part 7      Part 8      Comments on    Parts    Use this field to make additional comments on the parts you have requested. Just highlight and delete this text.   Contact Name      Phone Number