Trike Kits - Richland Roadster Motorcycle Trike Conversion Kit Order Now

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Delivery Method

Install at our Florida location

Pick Up at our Florida location

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Signature Fenders

Fender Style Choices

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Fender Color(s)

Chrome

Additional Information

Pinstripe Fenders

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

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

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

Address:

Billing Street Address City State Zip

S 4

Credit Card Number

Ship to Name (if different)

P 1

S 1

Name On Credit Card/PayPal Account

Ship To Street Address City State Zip

First & Last Name:

I authorize payment in the amount of