*NITRO FLOATER ORDER FORM*

BONINFANTE FRICTION

Floater Order Form
Business Name*
Full Name of Preferred Contact*

First NameLast Name
Office phone number*

Area CodePhone Number
Cell phone number

Area CodePhone Number
Shipping Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Is the billing address the same as shipping?*

YesNo
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail*
Type of Email*

PersonalBusiness
Is this a new order?*

YesNo, release from standing PO
PO Number
Floater Order Details
STANDS
SIZE
THICKNESS
DO YOU WANT GROOVES TO BE THE SAME ON BOTH SIDES?

YESNO, MULTIPLE PATTERNS
GROOVES
GROOVE WIDTH
GROOVE DEPTH
NUMBER OF ENGINE SIDE GROOVES
NUMBER OF REAR SIDE GROOVES
QUANITY OF FLOATERS
DATE/RACE PRODUCT IS NEEDED BY
Additional Order Notes
Need Burst Panels?
QUANTITY
Payment Details
Payment Method*

Online / Bank TransferCredit CardMoney OrderExisting Customer - NET 30Other
Order Date

DayMonthYear
Mode of Delivery
Place your order and get your free gear!

HatT-ShirtHoodieDecals
For office use only
Payment

PaidNot paid
Shipping

ShippedNot Shipped
Ship Date

MonthDayYear
Date
Payment Structure
Total (MYR)
Outstanding (MYR)
Payment Details
SCHEDULE*
Should be Empty:

BONINFANTE FRICTION