Date: ____________________________ E-mail Address: ____________________

Name: ________________________________________________

Address,City,State,Zip: _______________________________________________

Phone Number: (where you can be reached): _________________________

Rider Information:

Weight:_______________________________________ Class: _________________

Types of Riding/Track Conditions: _________________________________________

Machine Information: (Information provided is very important)

Year: __________ Make: __________ Model: __________ 2 or 4 stroke: __________

Current Suspension Conditions: (Please circle one)

Stock Ridden    Stock Unridden    Modified    Damaged

Current suspension problems and or complaints: _________________

______________________________________________________

If modified, by who? ______________________________________

Service Check List: Check the services you require

O       Front Fork Rebuild: $112.95 plus parts*

O       Front Fork parts and oil: $TBD

O       Front Fork Revalve: $169.99 plus labor*

O       Front Fork Springs: $119.99*

O       Rear Shock Rebuild: $90 plus parts*

O       Rear Shock parts and oil: $TBD

O       Rear Shock Revalve: $169.99 plus labor*

O       Rear Shock Springs: starting at $119.99

O       Yamaha Raptor Front Reservoir Shocks: Rebuild, Revalve, Respring: $580.00

O       ATV Front Shocks Rebuild: $112.95 plus parts* Long-travel front: $125

O       ATV Front Shock parts and oil: $TBD

O       ATV Rear Shock Rebuild: $90 plus parts* Long-travel rear: $100

O       ATV Rear Shock parts and oil: $TBD

O       ATV Front Shock Revalve: $229.99 plus labor*

O       ATV Rear Shock Revalve: $169.99 plus labor*

O       Yamaha Raptor Rear Shock: Rebuild,Revalve,Respring: $475

Send to: WiigStyle Racing 1995 Ironwood Ave. Red Oak, IA 51566