Name*

First Last

Phone Number*

Email*

Your Boat Information

Manufacturer*

Model*

Year*

Tower Finish

Powder Coated - Standard Black, White, or Red
Powder Coated - Custom Color
Anodized Brushed Aluminum

Add a Coast Guard Approved Lighted LED Rope Saver?

Yes
No

Accessories

Board Racks

Do you want to add racks?

Yes
No

Rack you want quoted

Typhoon Rack(s) - Spinning
Talon Rack(s) - Fixed

Number of racks

One Rack
Two Racks

Typhoon Rack Configuration - Rack One

Typhoon Rack Configuration - Rack Two

Talon Rack Configuration - Rack One

Talon Rack Configuration - Rack Two

Speakers

Do you want to add speakers?

Yes
No

Number of SETS of speakers you would like to add

One set - two speakers
Two sets - four speakers
Three sets - six speakers

Speakers you would like to add - multiple selections okay

S9HD Speakers - Black Finish
SMT65 Speakers - Black Finish
SMT9Q Speakers - Black Finish

Speaker Finish

Black
Chrome

Add an Amplifier?

Yes
No

Mirrors

Add a Mirror?

Yes
No

Mirror / Accessories

Xtreme Three Lens Mirror

Tower Lights

Add Tower Lights?

Yes
No

Number of lights to add?

1 Set - Two Lights
2 Sets - Four Lights
3 Sets - Six Lights

What type of lights?

Halogen
LED

Bimini Top

Add a Bimini Top?

Yes
No

Shipping / Installation Info

Will we be installing at Samson Sports in Camas, WA?*

Yes, Samson Sports to install
No, please ship to me

Address*

Street Address City State / Province / Region ZIP / Postal Code

Comments or Special Instructions

Comments

This field is for validation purposes and should be left unchanged.

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