Custom Seat Program Questionnaire



Motorcycle Info:

Year:
Make:
Model:


Rider Info:

Male or Female:

Height:

Weight:

Age:



Problems with Motorcycle Rider:


Problems with Rear Passenger:


Custom Seat Pan? If yes, description of seat pan, ie shape, material, hardware:


Gel or Comfort Pack?:



Foam Description, ie shape, sculpting design and molding:


Primary Material:


Description of Primary Material:


Secondary Material:

Description of Secondary Material:


Primary Thread Color:


Secondary Thread Color:


Embroidery:


Description of Embroidery:


Additional Colors and Description:



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