AMERICAN MOTORCYCLE SEATS ORDER FORM

              amsss116@gmail.com                   www.amsss.com

                 Please Print (CTL P) and Include this Order Form in with the seat and payment.  

Name__________________________________________________________

Address________________________________________________________

City _________________State_____________ ZIP______________________

Email______________________________   Telephone___________________

Motorcycle Data    Year _____________  Make _______________________  Model  _______________________

Personal Data Driver         Height ___________    Weight ____________   

Personal Data Passenger     Height ___________    Weight ____________    

Special Instructions_______________________________________________________________________________

Shave back Tailbone section (  )  Lower Riding Position (  )  Raise Riding Position (  ) Extra Soft (  ) Extra Firm (  )

We will call you prior to doing any seat modifications

Money Order,      Cashiers Checks,      Personal Checks Accepted      PayPal    Please make payment out to '  J. Agostisi

Super 3 Layer Visco-Elastic Gel Memory Foam Installation, 1/4"  Memory Foam, Upholstery Foam Topping  - DRIVER SEAT Only

$209 Sale  $189

Super 3 Layer Visco-Elastic Gel Memory Foam Installation, 1/4"  Memory Foam, Upholstery Foam Topping    DRIVER/PASSENGER       

$229 Sale  $209

Aftermarket Seats  (Corbin, Mustang). Super 3 Layer Visco-Elastic Gel Memory Foam Installation, 1/4"  Memory Foam, Upholstery Foam 

$239 Sale $219

Sub Total

 
New Jersey Residents

Sales Tax Multiply .06

Shipping

       $39.95

Oversized

 

GOLDWING Seat    2010-2019 CanAmm, Scooters 

$49.95      

Total Price
 
 
 
DISCLAIMER. We guarantee our Visco Gel Memory Foam products, WE CANNOT GUARANTEE THAT A GEL PAD AND MEMORY FOAM INSTALLATION WILL SOLVE ALL YOUR RIDING DISCOMFORT. EVERY INDIVIDUAL IS BUILT DIFFERENTLY AND EVERY ONE WILL GET DIFFERENT RESULTS. All customers that agree into a purchasing agreement for our custom reupholstering service agrees to this warranty and limitations of liability. We do not accept responsibility if your parcel (seat) is lost once the Postal Service has it in their possession. ** We do not guarantee that aftermarket seat covers will not look the same as the OEM Seat cover.**

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Shipping Label

___________________________________________________________________
To:  American Motorcycle Seats 
                      J.Agostisi
116 Brookview Cr.
Jamesburg, NJ 08831