Name*

First Last

Phone Number*

Email*

Your Boat Information

Manufacturer*

Model*

Year*

Are you trying to utilize your factory bimini? (not available for all boats)

Yes
No

Tower Finish

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

Accessories

Board Racks Included with this Tower - Please Choose Your Setup

Rack Configuration - Rack One

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
SMT9Q Speakers - Black Finish

Speaker Finish

Black
Chrome

Add an Amplifier?

Yes
No

Mirrors

Add a Mirror?

Yes
No

Mirror / Accessories (select as many as you would like)

Xtreme Three Lens Mirror

LED Rope Saver Comes Standard with This Tower

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 Samson 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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