Order Form

GILMOUR CUSTOM FRAME ORDER FORM Thank you for choosing a Gilmour as your next bike. You can either print this form and mail it to Gilmour at 2101 E 13th Street, unit A Tucson, AZ 85719 or download the order form in a word document format and email it to andy@gilmourbicycles.us If you have any question, please call Gilmour at 520 991-0287 NAME_____________________________________________________________________ ADDRESS__________________________________________________________________ STATE_____________  ZIP  _____________   PHONE_______________________________ What kind of riding will you be doing?_______________________________________________ ____________________________________________________________________________ What kind of bike do you presently ride?_____________________________________________ What do you dislike about it?______________________________________________________ How do you want your new frame to be different?_______________________________________ _____________________________________________________________________________   HEIGHT_________________WEIGHT____________INSEAM___________

A  Inseam to Ground________________________ B  Inseam to Shoulders______________________ C Shoulder to Knuckles_____________________ D Shoe Size______________________________ E Shoulder Width__________________________   Thread___________________________________ Crown___________________________________ Dropouts_________________________________ Lugs_____________________________________ Seat Cluster_______________________________ Chrome__________________________________ Paint_____________________________________ Special Requests____________________________ _________________________________________ _________________________________________

A  Seat Tube____________________________ B Top Tube____________________________ C  Seat Angle___________________________ D  Head Angle___________________________ E Bottom Bracket Height___________________ F Fork Rake____________________________ G  Chain Stays___________________________ Cut Outs________________________________ Tubing__________________________________ Braze Ons_______________________________ Water Bottle_____________________________ Derailleur Guides__________________________ Brake Fittings_____________________________ Shifters or E/C Stops________________________ Others___________________________________ ________________________________________ ________________________________________

Please feel free to include photos, drawings, extra comments or other information                                    concerning   your riding habits and/or frame expectations

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