Please print and fill in then mail or fax to us.

Fax: (08) 9592 9109
Surf Mania
Shop 1 "The Boardwalk"
7 Railway Terrace
Palm Beach WA 6168

Name:_____________________________________________________________________

Address:__________________________________________________________________

___________________________________________________Tel:___________________

Shop:______________________________________________Tel:___________________

Surfing experince:_________________________________Waves surfed:__________

Shaper:___________________________________________________________________

Weight:_________________Age:______________________Height:_________________

Length:_________________Width:____________________Thickness:______________


LAMINATION GLASSING
Regular Deck 4oz x 6oz Notes:_______________________________
Bottom 6oz _____________________________________
Team Deck 4oz x 4oz _____________________________________
Bottom 4oz _____________________________________
Other _____________________________________
.
WEIGHT (finished)
Standard up to 3800grams _____________________________________
Light up to 3200grams _____________________________________
Extra Light up to 2800grams _____________________________________
.
FINS
Glass _____________________________________
Removable (F.C.S) _____________________________________
Ultra Light (glass composite) _____________________________________
Other _____________________________________
.
SPRAY
White _____________________________________
Other _____________________________________
.
FINISH
Pro Coated - P2000 _____________________________________
Team - P600 _____________________________________
Gloss / Polish _____________________________________
.
.
.
.
.
DECALS
Blue _____________________________________
Yellow _____________________________________
Red _____________________________________
White _____________________________________
Designs by John Carper _____________________________________


Date:______________________________Desposit:_________________________

Price:_____________________________Balance:__________________________


Shaper's Measurements (Office use only)
TW12
NW12
TTH
NTH
TROCK
NROCK
TR12
NR12
THICK
TW12
NW12
TTH
NTH
TROCK
NROCK
TR12
NR12
THICK