- ORDER FORM -

First Name:   Last Name: 
Phone Number:  (include your area code)
Street Address: Apt:
City:    Province:    Postal: 
RIDER INFO
Rider Weight (no gear):  lbs.        Height:  feet and: inches.
Skill Level:    Years riding:  years.
Type of Riding (choose one or more):
Motocross SX/Arenacross
Enduro Cross Country/Hare Scrambles
Terrain (choose one or more):
Sand Hardpack
Intermediate/loam Rocks, woods
WORK TO BE DONE
Forks (choose one or more): Revalve  Oil change
Shock (choose one or more):  Revalve  Oil change
ADDITIONAL INFO
Would you like any new parts installed on suspension being serviced?
Fork seals Shock seals
Fork bushings Shock bushings
ADDITIONAL COMMENTS

When you hit "Submit order form" your specifications will be
sent to PRO-TECH East and they will be in contact with you.