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

$199 Sale  $179

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

$219 Sale  $199

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

$199 Sale $209

Sub Total

 
New Jersey Residents

Sales Tax Multiply .06

Shipping

       $29.95

Oversized

 

GOLDWING Seat    2010-2019 CanAmm,Scooters 

$39.95      

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 insure all parcels that we send with US Postal Service for $200. We do not accept responsibility if your parcel (seat) is lost once the Postal Service has it in their possession.

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Shipping Label

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