Rider Name         ________________________

Address             ________________________

                    ________________________

Phone Number       ________________________

Email Address     ________________________

Rider Weight (no gear)      __________    Height        ________

Quad Info      Year ________  Brand __________    Type _______

Front :

      A Arms     Stock      Aftermarket Brand _______________

      Width +/-   _________     Forward _________     Wheel Spacers width _________

      Wheel Offset ________     Tire Size __________ 

Rear:

      Shock Linkage     Stock     Aftermarket Brand _________

      Swing Arm        Stock     Aftermarket Brand _________

      Wheel Spacers Width  _________  Wheel Offset ________     Tire Size _______

Rider Ability (Circle One)   

 A (Pro) Class       B (Amateur) Class        C (Novice) Class          D Trail/Off road 

Rider Preference        Harder          Softer         Not Sure

Track Type       Hard Pack       Intermediate       Loam       Sand        Soft Sand 

Work Requested

     Front Rebuild           Front Revalve          

    Rear Rebuild            Rear Revalve          

 Other? ____________________________________

 Do you request an estimate before we begin work?  If so, please list Phone Number

                                      ___________________________

 Desired Shipping       Ground      3 Day      2 Day      Next Day     Sat Delivery 

 Where did you hear about Meiser Racing? 

      Magazine Ad          Dealership          Internet       Friend     ________________

 Signature   _________________________________________

 Please Submit the preceding information in your request for Suspension work and ship to:

Meiser Racing LLC  20 Alfred Blvd  Waconia MN 55387