Seat Mod Order Form                    


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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) Please 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:   Spencers Moto Care       E-Mail:  Spencersmotocare@aol.com
                              C/o Frank Turnier
                              878 SW 36th Terrace         Phone: 772-418-9712                                
                              Palm City, FL  34990

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