Date:

Name:

Address:

Phone:

Email:

Requirements:

Your Height:

Your Weight:

Top Tube Length:

Seat Tube Length:

Tubing:

Lugs:

Dropouts:

Dropout Eyelets:

Fork Crown:

Fork Legs:

Seat Lug Detail:

Seat Stays:

Head Tube Extension:

BB Drop:

Saddle to Handlebar Drop:

Shift Levers:

Seat Tube Angle (if known):

Fender Clearance:

Wheel Size:

Front Hub Width:

Rear Hub Width:

Brakes:

Crankset:

Inside Chainring Size:

Crankarm Length:

Cable Stops:

Gear Lever Bosses:

Pump Peg:

Bottle Cage Bosses:

Rack Eyelets:

Other:

Finish:

Price:

Deposit:

Delivery Date: