Comfort Curves by Gayle
DELUXE SEAT SAVER CUSHION ORDER FORM

Order Seat Saver Style AND Fabric.Circle or highlight color preference. Call for custom color or fabric option.(715) 455-1652
For photos,refer to the Australian, English, Western or Motorcycle Seat Saver pages when making selections for this form.
Product - Seat Saver Cushion Quantity Cost Total Cost

Aussie (single cushion)

  $43.00 $_________
Aussie + A Little Bit More double cushion   $58.00 $_________
Western or English (circle one) single cushion   $38.00 $_________
Western or English + A Little Bit More (circle one) double cushion   $53.00 $_________
A Little Bit More 2nd cushion attaches under for X-treme trail riding comfort   $15.00 $_________
Motorcycle - Driver   $49.00 $_________
Motorcycle - Passenger - slim or fat boy (circlle one)   $39.00 $_________
Bicycle Tush Cush   $20.00 $_________
Top Fabric Choices -Circle or highlight color choice If ordering more than one style, indicate which color goes with which style of seat.
Faux Sheep -Black - Brown - Gold - Natural Berber Fleece (natural only is a polar fleece with sheep texture) Faux Leopard Fur(brn/wht)
Faux Tooled Leather - ornate like fancy saddle tooling -Black - Brown - Gold
Faux Butter Suede - soft with surface nap -Black - Dark Brown - Brown - Gold
Faux Stretch Suede - soft, smooth - Black - Brown - Gold
Faux Stretch Suede - soft, smooth -Black on Black Check English Only
Polar FleeceHorse Head Print - soft fleece - Brown Multi(more bays)- Gold Multi(more palominos)-Gray Multi(running horses on gray)
Polar FleeceTie Dye - soft fleece -Bright Multi (red, pink, yellow, blue, green, gold, purple)
Polar Fleece Check - soft fleece -Bright Multi (yellow, lime, pink, blue, orange, purple, moss)

Polar Fleece Solids - soft fleece - Black - Charcoal Gray - Heather Gray - Royal Blue - Medium Blue - Purple - Burgandy - Fuschia - Medium Pink - Barn Red - Cherry Red - Brown - Tan - Natural - Forest Green - Medium Green - Seafoam Green - Teal - Aqua

 

Special Instructions:

How did you find us?

Wisconsin Sales Tax   5.5% $_________
Shipping up to $60   $5.95 $_________
Shipping $60 to $120   $7.95 $_________
Shipping over $120   Free $_________
Grand Total

Credit Card Type (circle one): Visa, MC, AmEx, Disc

Credit Card # __________-__________-__________-____ ______

Expiration Date__________ Security Code (3 digits on back)__________

Name on Card

 

Name ___________________________________________________Date_________________________

 

Address ______________________________________________________________________________

 

City________________________________________ State ________ Zip Code _________

 
Phone_________________________Email_________________________________________
mail: byGayle
N14397 380th Street
Ridgeland, WI 54763 USA
We will accept your payment with VISA, Master Card, American Express, or Discover by phone or on the WEB, check, money order or credit card by mail. Email:gayle@bygayle.com Phone:1(715)455-1652