|
Accelerated
Technologies Work Request Form
|
| Personal
Information |
| Name - |
Home Phone -
|
| Cell Phone - |
Work Phone
- |
Weight - |
| Height - |
Email - |
Age - |
| Shipping Address
-
Do you want your return shipping insured
@ $2/hundred? Circle Yes or No
|
|
Bike/Sled/ATV Information (List
Make/Model/Year)
|
| Riding
Styles (check all that apply to the work you are
requesting) |
| Novice ______ |
Intermediate
______ |
Expert _____ |
| Green Track
Group ____ |
Yellow Track
Group ____ |
Red Track Group
____ |
|
Race ____
|
Street Performance
_____ |
Street Touring
____ |
| Two Up ____
|
Dual Sport ____ |
Offroad/Enduro
____ |
| Motocross____ |
Snowmobile ____ |
ATV____ |
| What is your
most important riding style? |
| List your most
ridden tracks in order: |
Times: |
| 1. |
|
| 2. |
|
| 3. |
|
| 4. |
|
| 5. |
|
| Work Required
- Forks (service, revalve,
repair, piston kits, cartridges)
|
| Work Required
- Shock(s) (service, revalve,
repair)
|
| Work Required
- Other (Chassis/Skidframe,
Driveline, Steering Damper, Brakes, Lowering, Race Prep,etc.)
|
| Explain
what improvements are you looking for?
|
