Custom Services Order Form - Instructions
Use this form when sending a seat for custom services or upholstery product installation.

1. Fill out section [A] of the order form. No Post Office Boxes Please! We can only return your seat to a street address.
Year, Make, Model, Engine Type and CC size is vital. 
And, DAYTIME phone number is critical if we have questions.

2. Next, check the bottom of your seat to determine the type of seat pan you have (plastic, metal, fiberglass, or aftermarket), and if it’s a one-piece or two-piece pan. Refer to the Base Price Table and enter the appropriate price in section [B] of the order form.

3. Review the Upholstery and Extra Options section of the Custom Seat Services Price List and enter any choices in section [B] of the order form. Also, if foam alterations are called for, enter those choices from the Foam Alteration Guide or the Custom Seat Services Price List, and total the column. 
For easier reference - you may want to print these price lists.

4. Complete the Method of Payment in section [C] (on back of order form).

5. Attach the order form and any special instructions to the seat. Box up the seat and ship to:
Sargent Cycle Products, 44 East First Street, Jacksonville, FL 32206.

NOTE: It should be inexpensive to ship your seat by ground transportation, especially if you box it yourself and take it to a U.P.S. or U.S. Post Office outlet (call in your area).
Packing and shipping companies are more convenient, but charge accordingly.

Please review the instructions before filling in this order form.

Section [A]

Return Seat To:

NAME:
(FIRST, MI, LAST))
 
COMPANY NAME:
(IF APPLICABLE)
 
APT or SUITE #::  
STREET ADDRESS:  
CITY, ST, ZIP  
DAYTIME PHONE:  
EMAIL ADDRESS:
We will email shipping confirmation, if desired.
 
Type of Motorcycle (Please supply exact year, make, model, and cc.)
Year:  
Make:  
Model:  
CC’s:  
Colors:  

PLEASE DON’T FORGET TO ATTACH THIS ORDER FORM AND ANY SPECIAL INSTRUCTIONS TO THE SEAT!

Sargent Cycle Products North America
44 East First Street Jacksonville, FL 32206 • 1-800-749-7328 / 904 354-4531 • FAX 904-354-7979 • www.SargentCycle.com

Section [B]

Base Price (See Base Price Table)  
Upholstery Inserts - Black Only (check one):
[ ] Pleated Vinyl (no charge) [ ] CarbonFX vinyl (add $20.00)
[ ] Smooth Vinyl (no charge)
[ ] Button Fit (add $25.00)     [ ]  Leather (non-refundable), please call
NOTE:  Smooth color vinyl is available as an extra option for an additional charge.
 
Upholstery Seams (check one):
[ ] Topstitch (flat seam)          [ ] Standard Black Welt (Piping)
[ ] Colored Welt (add $20.00)
 
Extra Options - List any other options that you wish to apply and the applicable charges (see the Custom Seat Services Price List):  
   
   
   
   

Please review IMPORTANT information about your seat's LEVEL LINE!

 
Take advantage of special DISCOUNTS in Custom Seat Services!  

Return Shipping and Handling (UPS Ground Continental USA only)
Small seats will be entitled to a slightly lower return shipping fee of $15.95.

$19.95

Limited USPS Service is available for PO Box and Military Addresses Only - $40.00
*Additional Shipping Charges may apply to large touring seats, oversized seats,
shipping to Alaska or outside the continental United States - CALL FOR PRICE.

 

Sub-Total (Florida Residents - add local county sales tax)

 

TOTAL

 

Use of this form constitutes acceptance of the Custom Foam Alteration Policy
and the Custom Seat Services Warranty.


Section [C]

Method of Payment
[ ] Money Order [ ] Personal Check (NOTE: Will be held for 11 days.)
Credit Card: [ ] Discover [ ] MasterCard [ ] VISA [ ] American Express
Credit Card #: __ __ __ __ - __ __ __ __ -  __ __ __ __  - __ __ __ __
Name (as it appears on the card):
Authorized Signature:
Expiration Date: __ __ / __ __
Billing Address:
City, ST, ZIP:
Home Phone:

Sargent Cycle Products North America
44 East First Street Jacksonville, FL 32206 • 1-800-749-7328 / 904-354-4531 • FAX 904-354-7979 • www.SargentCycle.com

Return to Custom Seat Services.