ManlySurf Tel/Fax : 61-7-5594-1371 E-mail : info@manlysurf.com

NAME

ORDER DATE

HEIGHT/WEIGHT

cm

kg

DEPOSIT

STANCE

BALANCE

ADDRESS

PHONE

HOME :

MOBILE :

BRAND

LENGTH

WIDTH

THICKNESS

NOSE WIDTH

TAIL WIDTH

NARROW □

AVERAGE □

WIDE □

TAIL SHAPE

PIN

ROUND

SQUASH

ROUND SQUARE

SQUARE

SWALLOW

RAIL SHAPE

LOW

MID LOW

NORMAL

MID HIGH

HIGH

NOSE ROCKER

FULL □

AVERAGE □

FLAT □

TAIL ROCKER

FULL □

AVERAGE □

FLAT □

BOTTOM SHAPE

□ R/VEE

□ VEE

□ FLAT

□ DOUBLE

□ SINGLE. DOUBLE

□ SINGLE

□ CHANNEL

FINS

STANDARD □

F.C.S □

RED-X □

DECALS/SPRAYS/COLOURS

GLASSING 4+4-4 □ (LIGHT) 4+6-4 □ (NORMAL) 6+6-6 □ (STRONG)

DECK

BOTTOM

SPECIAL INSTRUCTIONS