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New Product Idea Form


Tell us your automotive product idea and tell us your last purchases from the OE Dealer and
receive a free gift. (US only) **
All fields must be completed.
* Business Name
* Contact Name
* E-Mail Address
* Address Line 1
Address Line 2
* City
* State
* Zip
* Country
* Phone
Promotion Code:
Please enter any notes on your new idea*:
Vehicle Application:
OE Part#:
Year:
Make:
Model:
Engine:
Last Purchases made from OE dealer:
OE Part#:
Year:
Make:
Model:
Engine:
Description
Example: 1998 - Chevrolet - Monte Carlo - 3.8L - Intake Manifold
OE Part#:
Year:
Make:
Model:
Engine:
Description
Example: 1998 - Chevrolet - Monte Carlo - 3.8L - Intake Manifold
OE Part#:
Year:
Make:
Model:
Engine:
Description
Example: 1998 - Chevrolet - Monte Carlo - 3.8L - Intake Manifold
OE Part#:
Year:
Make:
Model:
Engine:
Description
Example: 1998 - Chevrolet - Monte Carlo - 3.8L - Intake Manifold
OE Part#:
Year:
Make:
Model:
Engine:
Description
Example: 1998 - Chevrolet - Monte Carlo - 3.8L - Intake Manifold
What re-manufactured products are you buying now that you would prefer to buy new:
1.
2.
3.
Select if you would like to receive special announcements and offers via email.

  
* Required Fields.
** When I submit any product idea to Dorman Products , I hereby transfer to Dorman Products any and all rights I may have in and to such idea and all related patents, copyrights, trademarks, trade secrets and all other proprietary rights that I may possess or may be entitled to related to such idea.