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. |
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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: |
Weight: |
Inseam*: |
Waist: |
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| Passenger Information: |
Height: |
Weight: |
Inseam*: |
Waist: |
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*Measure inseams from crotch to 1" above floor with usual riding footwear. |
| Bike Information: |
Make: |
Year |
Model: |
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 postion shown in photo you will besending. |
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Seat: Low: Middle: HIgh:
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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: |
Solo: Dual: |
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| Cover Material Choice: |
All Vinyl: Vinyl with Velour Inserts: Vinyl with Leather Inserts: All Leather: |
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| Cover Color Choice: |
Black: Lt. Gray: Gray: Graphite: Other Color: |
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Insert Color: Side Color: |
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| Quilting Pattern Choice: |
Small Squares: Diamonds: Rectangles: Half Moon: |
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| 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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| 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 7.25 % 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:
(If you are using a Credit Card, we will phone you to get all the information). |
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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