TOM SIMMONS Motorcycle Seats T.S. CUSTOM SALES
ORIGINALS EST
HAND TAILORED MOTORCYCLE
TOURING SEATS 479.521.7339 fax
479.442.0777
LAST NAME FIRST DAY
TIME PHONE NIGHT
PHONE
ADDRESS CITY STATE ZIP
DATE YOUR ORDER SHIPPED_____________HOW/WHERE DID YOU
HEAR ABOUT US?_____________________________
BIKE INFORMATION SEAT INSTRUCTIONS: BACKREST INFO:
MAKE____________YEAR_______
MODEL______COLOR(S)________
______________________________
______________________________
DRIVER INFORMATION
HEIGHT______’______” REMARKS:
WEIGHT_________LBS
WAIST___________”
INSEAM__________”
LIST THE FOLLOWING AS Small Averg
Large/Long Xlarge/Long
Legs____Arms____Hips____Waist____Thighs_____
PASSENGER
INFORMATION
HEIGHT______’______” REMARKS:
WEIGHT_________LBS
WAIST___________”
INSEAM__________”
LIST THE FOLLOWING AS Small Averg
Large/Long Xlarge/Long
Legs____Arms____Hips____Waist____Thighs_____
ITEM TOURING SADDLES PRICE
1. Velour
double saddle w/built in driver’s back rest & modified passenger’s back
rest 1045.00
2. Armrest
covers –
velour----------------------------------------------------------------------------
60.00
3. Rain
covers: complete set. waterproof w/storage pouch ---------------------------------- 80.00
Leather (extra)----------------------------------------------------------------------------------------- 180.00
CRUISER STYLE 2 TONES AVAILABLE, CALL FOR
PRICING
1. Driver
seat w/built in backrest and passenger
seat----------------------------------------- 680.00
2. Sissy
bar backrest –
modified-------------------------------------------------------------------- 90.00
Leather OR Studs
extra----------------------------------------------------------------------------------------
150.00
Flames------------------------------------------------------------------------------------------------------------- ask Tom
SCOOTER
SEATS
1. Velour
double saddle w/built in driver’s back rest-----------------------------------------
720.00
MANY
MORE ITEMS AVAILABLE. PLEASE CALL TOM - 479-521-7339 SEAT
SELECTION DOUBLE____SINGLE____ VELOUR____NAUGAHYDE____ COLORS INSERT_______________________ THREAD ON
INSERT_______________________ NAUGAHYDE
TRIM_________________________ THREAD ON
TRIM_________________________ ORDER INFO TOURING SADDLE (#1)
_____________________________ ARM
RESTS_______________________________________ CRUISER STYLE SEAT (#1)__________________________ SCOOTER SEAT (#1)________________________________ RAIN
COVERS_____________________________________ OTHER___________________________________________ OTHER___________________________________________ FEDEX GROUND W/INSURANCE
______________ $35.00 OTHER MEANS OF FREIGHT
AVAILABLE COD FEE $25.00
____________________________________ TOTAL PRODUCTS TOTAL INCLUDING
SHIPPING___________________ SALES TAX_________________ TOTAL SALE________________ LESS
DEPOSIT_______________ TOTAL ENLCOSED
$_____________ (DEPOSITE REQUIRED ON ANY
SEATBASE EXHANGE)