FAX Back - Order Form

Please print this order form, complete and FAX to Jackson Surfboards

Fax 02 9525 7340          (Telephone: 02 9524 2700)

 

----> Click here for online Order Form Help <----

Order Number: Date: Date Due:
Name:
Address:
Phone: (H) (area code:____) Phone: (W) (area code: ____)
Age: Height: Weight:
Recent Ability Level:
Typical Use:
SHAPING INSTRUCTIONS
Style:
Length:
Width:
Thickness:
Noise:
Tail:
 
Tail Design: tail-pin.giftail-round.giftail-roundsquare.giftail-square.giftail-swallow.gif
Rails: rail-low.gifrail-rolled.gifrail-mid.gifrail-high.gif
 
GLASSING INSTRUCTIONS .. tick relevant boxes [ ___ ]
Normal 6oz. [ __ ], or Lightweight 4 or 6oz. [ __ ], or Superlight 4oz.  [ __ ]
Bottom: Top:
Fins: Fin Box: Plug:
Gloss Finish [ __ ], or Pro Finish [ __ ], or Wet Rub [ __ ]
Other:

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Top

 Bottom
Basic Price:
Channels:
Concaves:
Vees:
Stringers:
N+T Blocks:
Fin Boxes:
Colour:
Other:
Total:
Access:
Total Price:
Trade-in:
Deposit:
Balance:
Colour(s):

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