Trike Kits - Richland Roadster Motorcycle Trike Conversion Kit Order Now

Fender Color(s)

Chrome

Additional Information

Pinstripe Fenders

ORDERING INSTRUCTIONS

1. Fill in the form below with as much customer information as you have.

2. Click the Submit button at the bottom of the form.

3. Confirm you placed the order. You will see this message on your screen:

SEND parts order to customer for payment.

S 3

Credit Card Expiration Date

Credit Card Security Number

S 4

Ship to Name (if different)

P 1

Name On Credit Card/PayPal Account

First & Last Name:

Daytime phone:

Fender Style - choose one and then fill in Color Choice information

Solid Color

Signature Fender 1 - must give solid AND accent color below

Signature Fender 2 - must give solid AND accent color below

Signature Fender 3 - must give solid AND accent color AND pinstripe color below

Signature Fender 4 - must give solid AND two accent color AND pinstripe color below

Pinstripe 1 - must give solid color AND pinstripe color below

Pinstripe 2 - must give solid color AND pinstripe color below

Chrome Pinstripe - additional charge $100.00 must give solid color below

P 2

Address:

Billing Street Address City State Zip

Credit Card Number

S 1

Ship To Street Address City State Zip

I authorize payment in the amount of

Signature Fenders

Fender Style Choices

click here to see larger images

Part Number, Quantity Requested, Amount Due

Evening phone:

S 2

Richland Roadster Purchased: Name, Date, Motorcycle Make, Model, Year, Color, CC

Parts Order

This page for internal use only

Email:

Email address used for PayPal transaction

Delivery Method

Install at our Florida location

Pick Up at our Florida location

Ship to me