BOB JACKSON CUSTOM FRAMESET ORDER FORM
Name:								AREA CODE & PHONE
Address:								Phone:
								Fax:
Shop Name:								P.O.#
	MODEL:
	SIZE:____			Center / Center				Center / Top
Head Tube angle					Rear spacing
Top tube length					Fork rake
Seat tube angle					or     Set back
BRAZE ONS
		2 SHIFTER BOSSES  (standard)
		CHAINHANGER  (standard)
		PUMP PEG  (standard)
		2 WATER BOTTLE FITTINGS (standard)
		FRONT DERAILLEUR HANGER ___teeth on big chainring
		ERGO LOOPS ON LOWER HEADLUG (free)
		3 WATER BOTTLE FITTINGS  (standard on touring frames)
		REAR RACK MOUNTS  (standard on touring frames)
		LOW RIDER MOUNTS  (standard on touring frames)
		OTHER   ____________________________________
		OTHER   ____________________________________
GENERAL INFORMATION
BRAKES TO BE USED _________________								ALLEN FITTINGS
		SHORT REACH				LONG REACH		___ EXACT REACH if "long"
SIZE & TYPE OF WHEELS TO BE USED ____________________________________
TIRE SIZE  _____________________					CRANKSET TO BE USED _______________
OTHER INFO:______________________________________________________
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CHROME PLATING
		FORK TIPS
		FORK CROWN ONLY
		FORK BLADES & TIPS				10" UP		8" UP
		FORK BLADES & TIPS (no crown)
		ENTIRE FORK (blades, crown, tips)
		HEAD LUGS (both upper & lower)
		REAR DROPOUTS
		RIGHT CHAINSTAY & BOTH DROPOUTS
		BOTH CHAINSTAYS & DROPOUTS
		REAR STAY/DROPOUTS				10" UP		8" UP
		REAR TRIANGLE
		REAR TRIANGLE TO BRAKE BRIDGE
		SEAT TUBE
		ENTIRE FRAME & FORK
		OTHER _______________________________________________________
		OTHER _____________________________________________________
COLOR SCHEME
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OTHER INFORMATION
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IMPORTANT
ORDERS CAN NOT BE ACCEPTED UNLESS SIGNED
____________________			_______________________________					_______________________________
date			signature					print name
A 40% DEPOSIT IS REQUIRED TO INITIATE ORDER
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