ORDER FORM

PLEASE FILL OUT AND FAX TO:
(510) 524-5036

OR MAIL TO:

THE JOYRIDERTM
1565 SANTA CLARA ST.
RICHMOND, CA 94804

email: kirk@thejoyrider.com

Credit Card # Exp. Date
Exact Name on Card
Mailing Address
City State Zip
Phone #
Email Address

 

Signature _________________________________________________

 

The JoyRider @ $350.00

The LowRider @ $350.00

 The  Conversion Kit @ $60.00

Sub Total $_______________

California add 8.25% State sales tax $ ____________

Shipping &Handling $____45.00______

Grand Total $_________________________

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