Rider Name: Parent Name (if minor): Phone: Alt. Phone: Email: Address: City: State: Zip: Age: Weight (w/o gear): Height: Inseam: Skill Level:

BEGINNER NOVICE AMATEUR PRO VET

Current Classes Raced: Avg. Finish: Racing / Riding Type:

MX ARENACROSS SUPERCROSS GNCC ENDURO HARE SCRAMBLE

Terrain Type(s): (check all that apply)

HARD PACK SAND INTERMEDIATE

Bike Info: Year: Make: Model: 2 or 4 Stroke: Current Suspension: STOCK (UNRIDDEN) STOCK (RIDDEN) MODIFIED If Modified By Who?   SERVICES TO BE PERFORMED

REVALVE FORKS $180.00 SERVICE FORKS $85.00 REVALVE STEERING DAMPER $65.00 REVALVE SHOCK $160.00 SERVICE SHOCK $85.00 SERVICE STEERING DAMPER $ 40.00

Please list any upgrade products or additional services below: Upgrades & Services: Current complaints with suspension: Issues & Problems:   Shipping Address (if different than above) Business Name: Shipping Address: Shipping City State Zip: Do not enter anything in this field: