Fender Covers Quote Request Form

Type of Fender*

Length: * Shoulder to Shoulder

Length: * End to End

Diameter*

Circumference*

In order for us to make custom-made covers for your fenders we need to know the sizes, quantities, and color desired for your covers. We will respond within 48 hours with either an order confirmation or quote by e-mail. If desired, we can respond by fax, just fill in your fax number.

Thank you for your interest in our products.

Please note: Any information gathered here is considered personal and confidential, and will not be used in any other way, except for the provision of your quote. It will not be released to any third party, mailing lists, surveys, etc.

For help in taking the measurements or a look at our LOW prices, click here.

* Must be filled out in order for us to respond. **Must match type of response required.

Please provide the following contact information:

First Name *

Last Name *

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone **

Home Phone **

E-mail
Fax Number

**

**

Type of Response Required **

E-Mail if different than submitted

Number, size, and color of fender covers required. For help in measuring click here.

Please note: We are able to give the price quote without the circumference measurement, but we cannot make the covers until we have it.

For more specific color information go here!

If known, please insert manufacturer of your fenders, style, and model number.

I.E., 4 each, Taylor, Big B, #1026 and 2 each, Polyform G-4.

SHIPPING ADDRESS IF DIFFERENT

First Name

Last Name

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Comments or other instructions. Limited to 80 characters.

CORPORATE OFFICE BUSINESS OFFICE/ WAREHOUSE

PRAKTEK, Inc. 600 Apple Grove Rd. Silver Spring, MD 20904

PRAKTEK, Inc. 215A West Hampton Pl. Capital Heights, MD 20743

Local (301) 593-3616 Fax (301) 593-6158

E-mail corp@praktek.com

Toll Free (877) 617-5615 Local (301) 324-1380 Fax (301) 324-1381 E-mail info@praktek.com

First Name	*
Last Name	*
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone	**
Home Phone	**
E-mail Fax Number

	SHIPPING ADDRESS IF DIFFERENT
First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country