Russell Cycle Products Online Order Form
Welcome to our new online Ordering System. It helps to do some "pre-work" by finding what Price Code your seat falls under, finding your Shipping Price, having an image to send us (preferably not an image that exceeds 1mb), and having a calculator on hand to add up the total charges. If you are not sure of you Price Code, please refer to the Motorcycle Reference Chart.
*Denotes required fields.
We will contact you within 2-4 working days to confirm your order and review all the details.
If you do not hear from us within 2-4 working days, please contact us! |
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| Personal Information |
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Customer Name:* |
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Ship To:* |
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Street Address:* |
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City & State:* |
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Postal Code:* |
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Home Phone (including area code):* |
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| Work Phone: (including area code): |
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| Email Address:* |
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| Production Date: |
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| Ordering Information (Orders will not be accepted without this information) |
| Driver Information:* |
Height:
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Weight:
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Inseam*:
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Waist:
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| Passenger Information: |
Height:
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Weight:
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Inseam*:
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Waist:
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*Measure inseams from crotch to 1" above floor with usual riding footwear. |
| Bike Information: |
Make:
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Year
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Model:
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Color:
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| Describe any modifications made to your handlebars, suspension, etc... |
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| If your seat or trunk box are adjustable, please indicate position shown in photo you will be sending. |
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Seat: Low: Middle: HIgh: |
Box: Forward: Middle: Rear: |
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| Please note: If you desire to sit in different position than in picture, please describe in detail, position desired. |
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| Item Information |
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"Day-Long" Touring Saddle:
(Please refer HERE if you are not sure what your price code is). |
Price Code:
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Solo:
Dual: |
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Cover Material Choice:
(Vinyl/Velour) |
All Vinyl:
Vinyl with Velour Inserts: |
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Cover Material Choice:
(Vinyl/Leather) |
Vinyl with Leather Inserts:
All Leather: |
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| Cover Color Choice: |
Black:
Lt. Gray:
Med. Gray: Graphite: Other Color: |
| Insert Color Choice: |
Insert Color:
Side Color: |
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| Quilting Pattern Choice: |
Small Squares:
Diamonds Small: Diamonds Large: Rectangles: Half Moon: |
| Heavy Weight Suspension: |
Driver:
Passenger: ($45.00 for each that applies). |
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| RCP Built-In Driver's Back Rest: |
Yes:
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| Driver Backrest Pouch: |
Yes:
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| Recover Existing Driver Back Rest: |
Yes:
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| Recover Passenger Back Rest: |
Yes:
Price Code: |
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| RCP Heating System: |
Solo:
Dual: |
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| Retain Stock OEM Heat: |
Yes:
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| Rain Covers: |
Seat Only:
Seat & Built-In Driver B/R: Driver Backrest: Passenger B/R: |
| Existing “Day-Long” Saddle: |
Rebuild:
Recover: Other: |
| Sending Your Images |
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| Sending Image: |
I will be sending image with this Order Form:
I will be sending image at a later date: |
Upload Images:
(Please refer HERE if you are not sure on how your images should look).
Upload up to 5 images, or as little as 0. |
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| Pricing Information & Payment Method |
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| I wish to delay sending my seat as explained in ORDERING TIPS. Please notify me of my production date:
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| Sub Total: |
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| CA Residents add 8.25 % Sales Tax: |
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| Shipping Charge (See prices): |
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| Insurance 55¢ Per $100: |
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| TOTAL CHARGES: |
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Method Of Payment:
(We accept Visa, Mastercard, Discover. If you are using a Credit Card, we will phone you to get all the information).
We do not accept American Express. |
Check:
Money Order: Credit Card: |
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| Please enter Security Code below to complete Order Form and then submit. |
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SECURITY CODE:
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