Rider Name         ________________________

Address             ________________________

                    ________________________

Phone Number       ________________________

Email Address     ________________________

Rider Weight (no gear)      __________    Height        ________

Bike Info      Year ________  Brand __________    Model _______

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

     Fork Rebuild           Fork Revalve           Fork Revalve with Springs

    Shock Rebuild          Shock Revalve           Shock Revalve with Springs

 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