Name:__________________________________________________________

 

Address:________________________________________________________                     

City:__________________________State: ______ Zip:_________________

 

Phone:__________________________

 

Email: __________________________ 

 

Credit card #:_____________________________________________

 

Exp. Date_________________  Security Code________________

 

Model:_____________________ Year__________  MX___  XC___  TT___

 

Rider Weight with gear: _______    If Racing, what class: ________

 

A-arm Length & Brand: __________________________

 

Swingarm Length & Brand ______________________  Linkage: _______

 

Parts Shipped: _______________________________________________

 

Please list services that you would like us to perform & any additional notes. _______________________________________________________________

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