PUSH The En Velo Pe

Courier Bag Order Form ($American)

These Prices include taxes and shipping!
[ __ ] small featherWeight ($82.00 US)
[ __ ] large featherWeight ($106.00 US)
[ __ ] small hardTail ($106.00 US)
[ __ ] large hardTail ($138.00 US)
[ __ ] small fullSuspension ($138.00 US)
[ __ ] large fullSuspension ($170.00 US)
Please call or e-mail for current AWD specs and prices, or custom work.

[ __ ] right swing (left shoulder)
[ __ ] left swing (right shoulder)

Rate your top 3 colour choices:

Height : ___'_____" / ______cm - - - Weight : ______lbs / _____kg

Name : _________________________________________

Address : ____________________________________________

City : ___________________ Province : ___________

Country : _______________________________

Postal Code : ___________ Phone : ( _____ ) ________________

Please use one form per bag - Prices include taxes and shipping.

Print out this form, fill it in, and send it to:

PUSH the en velo pe
220 Claremont Street
Toronto, Ontario
CANADA
M6J 2N2

Don't forget to enclose payment! - Please allow 3-6 weeks for delivery