Order With Our New InterActive PDF Form:
Simply download the
Order Form and save it to your computer. Fill it out on your computer and send it back to our email address as an attachment, (along with required photos)...or you can fax or mail it in!
It's really that simple!
Our order form working again and is now on a secure server for your privacy.
Welcome to our new online Ordering System.
It helps to do some "pre-work" by finding what Price Code your seat falls under, 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.
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!
*Denotes required fields .
Personal Information
Customer Name:*
Ship To:*
Street Address:*
City & State:*
Postal Code:*
Home Phone (with area code):*
Work Phone: (with area code):
Email Address:*
Production Date:
Ordering Information (Orders will not be accepted without this information)
Driver Information:*
Height:
Weight:
Inseam*:
Waist:
Passenger Information:
Height:
Weight:
Inseam*:
Waist:
*Measure inseams from crotch to 1" above floor with usual riding footwear.
Bike Information:
Make:
Year:
Model:
Color:
Describe any modifications made to your handlebars, suspension, etc...
If your seat or trunk box are adjustable, please indicate position shown in photo you will be sending.
Seat: Low:
Middle:
HIgh:
Box: Forward:
Middle:
Rear:
Please note: If you desire to sit in different position than in picture, please describe in detail, position desired.
Item Information
"Day-Long" Touring Saddle:
(Please refer HERE if you are not sure what your price code is).
Price Code:
Solo:
Dual:
Cover Material Choice:
(Vinyl/Velour)
All Vinyl:
Vinyl with Velour Inserts:
Cover Material Choice:
(Vinyl/Leather)
Vinyl with Leather Inserts:
All Leather:
Cover Color Choice:
Black:
Lt. Gray:
Med. Gray:
Graphite:
Other Color:
Insert Color Choice:
Insert Color:
Side Color:
Quilting Pattern Choice:
Sm Squares :
Diamonds Sm:
Diamonds Lrge:
Rectangles:
Half Moon :
Heavy-Duty Suspension:
Driver:
Passenger:
($45.00 for each that applies).
RCP Built-In Driver's
Backrest:
Yes:
Driver Backrest Pouch:
Yes:
Recover Existing Driver
Backrest:
Yes:
Recover Passenger
Backrest:
Yes:
Price Code:
RCP Heating System:
Solo:
Dual:
Retain Stock OEM Heat:
Yes:
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
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 1.
I would like an
embroidery design:
Yes:
Please choose design:
Please Choose Design:
WC0263 Aries - $22.00
WC0264 Aquarius - $22.00
WC0265 Cancer - $22.00
WC0266 Capricorn - $22.00
WC0267 Gemini - $22.00
WC0268 Leo - $22.00
WC0269 Libra - $22.00
WC0270 Pisces - $22.00
WC0271 Sagittarius - $ 22.00
WC0272 Scorpio - $ 22.00
WC0273 Taurus - $22.00
WC0274 Virgo - $22.00
WC0278 Heart - $22.00
WC0282 Black Widow - $22.00
WC0286 Rose - $22.00
WC0284 Scorpion - $25.00
WC0285 Cross - $30.00
WC0303 Flaming Yin Yang - $38.00
WL0985 Cobra - $35.00
WL0571 Eagle - $35.00
MI0455 Dragon - $65.00
NT0967 Anchor Stars W/Skull - $65.00
WC0283 Ankh - $30.00
CF0020 Eagle W/ Flag - $40.00
CF0094 Eagle W/ Flag - $40.00
CF0112 Red White & Blue Eagle - $35.00
CF0153 Eagle W/ Flag - $30.00
CF0336 Flag W/ Eagle - $40.00
WL0422 Eagle - $65.00
CF0140 Crossed Flags - $30.00
WL0316 Freedom - $25.00
CF0225 Eagle - $35.00
CF0099 America - $45.00
14313 USMC Logo - $65.00
MMI1074 Navy Insignia - $18.00
MMI1050 Air Force Insignia - $20.00
14181 USMC Insignia - $40.00
USNavy_326 United States Navy - $30.00
MMI1144 Special Forces - $25.00
14079 Eagles & Pistols - $20.00
14096 Air Force & Eagle - $40.00
SR0080 Air Force Emblem - $25.00
SR0077 Coast Guard Emblem - $25.00
07173 US Army Emblem - $35.00
la0610 Eagle & Flag - $30.00
la0941 Caduceus Emblem - $18.00
AIGDG109 Skull w/Flames - $35.00
25037 Winged Skull - $65.00
14610 Skull Flame - $40.00
21893 Angry Skull Flames - $50.00
9785 Flaming Skull - $40.00
21803 Five Skulls - $45.00
21882 Ying Yang Skulls - $30.00
15113 Pendant & Winged Skull - $25.00
22213 Angry Skull 1 - $35.00
22931 Mad Skull - $35.00
Tattoo Skull - $45.00
Angry Skull - $65.00
22067 Devil Skull - $35.00
19156 Skull with Snakes - $35.00
14605 Skull Drawing - $65.00
25168 Skull Dagger - $40.00
19833 Skull with Fire - $40.00
Pricing Information & Payment Method
I wish to delay sending my seat as explained in ORDERING TIPS. Please notify me of my production date:
Sub Total:
CA Residents add 7.50 % Sales Tax:
Shipping Charge (See prices ):
Insurance 55¢ Per $100:
TOTAL CHARGES:
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:
Please enter Security Code below to complete Order Form and then submit.
SECURITY CODE: