Billing/Contact Details:

First Name:		Last Name:
Address:
City:		State:	Zip:
Primary Phone:	( ) -
Secondary Phone:	( ) -
E-mail Address:

Ship to:

First Name:		Last Name:
Address:
City:		State:	Zip:
Primary Phone:	( ) -

Shipping Method:

	Standard UPS
	2nd Day UPS
	Next Day Air

Qty	Frames	Sizes	Color	Special Instructions/ Comments
	Hard Tail	15 17 19 21 Custom	Kelly® Chrome Green Silver Oriental Blue Orange Black Construction Yellow Candy Red Stealth Other
	Hard Tail x1	15 17 19 21 Custom	Kelly® Chrome Green Silver Oriental Blue Orange Black Construction Yellow Candy Red Stealth Other
	Knobby Cross (includes fork)	48x54 53x54 55x55 57x57 59x59 61x61 Custom	Kelly® Chrome Green Silver Oriental Blue Orange Black Construction Yellow Candy Red Stealth Other
	Knobby Cross x1 (includes fork)	48x54 53x54 55x55 57x57 59x59 61x61 Custom	Kelly® Chrome Green Silver Oriental Blue Orange Black Construction Yellow Candy Red Stealth Other
	Cruiser	XL XXL Custom	Silver Other
	Road & Bone Stock (includes fork)	48x54 53x54 55x55 57x57 59x59 61x61 Custom	Banana Red Grasshopper Orange Other

Qty	Complete Bikes	Sizes	Color	Fork	Group	Special Instructions/ Comments
	Hard Tail	15 17 19 21 Custom	Kelly® Chrome Green Silver Oriental Blue Orange Black Construction Yellow Candy Red Stealth Other	Sid XC Judy Race Manitou SX Marzocchi Rigid (Unicrown) Other	Builder's Choice Options XTR builders choice XT builders choice LX builders choice Other
	Hard Tail x1	15 17 19 21 Custom	Kelly® Chrome Green Silver Oriental Blue Orange Black Construction Yellow Candy Red Stealth Other	Sid XC Judy Race Manitou SX Marzocchi Rigid (Unicrown) Other
	Knobby Cross (includes fork)	48x54 53x54 55x55 57x57 59x59 61x61 Custom	Kelly® Chrome Green Silver Oriental Blue Orange Black Construction Yellow Candy Red Stealth Other	Rigid (Unicrown)	Builder's Choice Options XTR builders choice XT builders choice LX builders choice Other
	Knobby Cross x1 (includes fork)	48x54 53x54 55x55 57x57 59x59 61x61 Custom	Kelly® Chrome Green Silver Oriental Blue Orange Black Construction Yellow Candy Red Stealth Other	Rigid (Unicrown)
	Cruiser	XL XXL Custom	Silver Other	Marzocchi Rigid Other	Builder's Choice Options builders choice
	Road and Bone Stock (includes fork)	48x54 53x54 55x55 57x57 59x59 61x61 Custom	Banana Red Grasshopper Orange Other	Rigid (Lug) Rigid (Unicrown)	Builder's Choice Options Dura Ace Ultegra Campagnolo Other

Total Order	$ To be Quoted
Plus shipping & handling (minimum charge is $5.00)	based on Weight, Zip code destination, Ship method Selected
Sales Tax (California Residents only 8.25%)	$

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All Kelly® Terms & Conditions of Sale Apply. International customers are responsible for all applicable duties & taxes. Prices are in U.S. $.