Custom Parts for your Motorcycle
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Order Form

Please download this order form and fill out completely if you want to:

  • Get a custom quote for parts or work.
  • Get a custom shipping quote.
  • Email or Mail in your order instead of ordering on the website.

Lossa Order form



Please note, we are an online ordering only business, please only use this form if you are not able to place an order online.


We ship worldwide!  You can add the items to your cart, enter all your info and it will give you shipping options and cost before you have to enter payment info and pay.

If you email us this form filled out, we will enter your info and order into our system, calculate shipping and send you a link to click that you can pay for your order with any type of payment.  Or to mail in a check or money order for payment.