| Frame Form |
Name..................________________________________ Frame VIN number_____________________________ shipping address.....____________________________ city/state.............__________________________ modifications........__________________________ Add ons............._________________________ Date....................________________________ cost total............._________________ Payment type......______________ credit card type..._____________ number........______________________________ expire date......__/__/__ ccv number......___________ Billing address....______________________________________ ________________________________________ |
| Black widow Chopper Co s286 state rd 25, Durand, Wis, 54736 |
| phone 715-672-3451 |
| Please print this form, fill it out and send either with the frame or your payment. It helps us keep track of the many frames we recieve. thank you Spyder |
 |