Quote Request


Please complete the following form so that we may provide you with an accurate quote:
If you are interested in a GEM Car quote, you may go directly to www.gemcar.com and customize your request
and receive an instant online price.  Please call 770-631-2950 for any questions.

Please provide the following contact information:

First Name
Last Name
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Type of Golf Car:


Number of passengers:



Columbia Colors:


Club Car Colors (Molded Body):


 GEM Car colors

     

       

Intended Use of vehicle:


Additional accessories (upgrades desired):

Enclosure
Stereo system
Lift kit
ATV Tires
Beaded Floor Mat
Shopping Bag
Golf Bag Holder
Cargo Bed
Upgraded Seats
Chrome Wheels
Chrome Hubcaps
Locking Glove Box

Standard Options desired:

5-panel Mirror
Digital Charge Meter
Horn
Privacy Key
Pinstripe
Headlights/Taillights
Deluxe lights (Columbia only)

Number of vehicles requesting to purchase:



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Copyright © 2003 [OrganizationName]. All rights reserved.
Revised: 12/12/09