E-mail:
Name:
Address:
City:
State/Province:
Country:
Zip/Postal Code:
Phone Number: (Include area code)
Tell us about yourself (Please indicate U.S. or Metric)
Gender:	Select one Male Female   Age:
Weight:
Height:
Surfing Ability:	Please Select One --------------------------- Beginner Intermediate Advanced
Board Details (Please indicate U.S. or Metric)
Shape:	Please Select One --------------------------- Longboard Shortboard Fish Shape Custom Shape Big Wave Gun
Length:
Width:
Nose Width:
Tail Width:
Thickness:
Rails:	Low      Mid      High
Tail Shape:	Please Select One --------------------------- A Rounded Pin B Roundtail C Squash D Rounded Square E Square F Swallow/Fish G Hip H Single Wing I Double Wing
Fins:	Please Select One ----------------------------- Thruster Single Box Glass On FCS -Additional $30 Center Box -Additional $10 Tail Block -Additional $30 OFish'L
Blank:	Please Select One ----------------------------- Green Blue Ultra Other
Glassing Instructions
Bottom:
Top:
Deck Patch:
Tail Patch:
Other:
Gloss & Polish:
Sanded Finish:
Time Frame:
Comments: