Seat Mod Order Form                    

  I have officially moved into my new shop, please note the new shipping address 

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              Spencers Seat Mod Order Form
                    Please print and include a copy with your seat when shipped

 Name______________________________________________Date_______________

 Shipping address________________________________________________________
                        
                        City____________________________State_______Zip_____________

 Contact number_________________________________Call between____am____pm

           E-Mail Address__________________________________________________

          Year, make, model of bike__________________________________________

 Riders seat modification:      YES   NO       Supracor upgrade on Riders Seat:  YES   NO
 Passenger seat modification: YES   NO       Is riders seat to be lowered:           YES   NO
          
  Your Height_____Your weight_____Your pants inseam_____Passengers weight______

 Do you use bar risers?  YES  NO   If yes, what is the added rise____and pullback_____

        What is your preferred riding position?      Back on seat     Centered     Up on tank

 Special instructions:_______________________________________________________
________________________________________________________________________
________________________________________________________________________

 **Please review FAQ page before shipping**     Shipped with:  UPS___    FedEx___      

 Payment method:  ____ *Check (preferred) Make payable directly to Frank S. Turnier
                                                                     (*checks are verified electronically after receipt so there is no delay in service)
                         ____   Money Order                 
                         ____   PayPal  (to:  Spencersmotocare@aol.com )       Total $_________
                                                                     
                      Please E-Mail BEFORE you ship your seat
         *Return shipping costs are not included in your seat mod pricing.  It is recommended you include a 
         prepaid return shipping label in the box with your seat when shipped.  This way you control the cost, return
         address, and will have your tracking number each way. Please see the FAQ page for more information.

                    Ship to:    Frank (Spencer) Turnier
                          403 SW Cahoon CT
                          Port St. Lucie, FL 34953

                  E-Mail:  Spencersmotocare@aol.com        Phone: 772-418-9712
                                                                                
                             

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