High Ti Cycles
918 Wheel Circle
Carbondale, Colorado 81623
(970) 963-9058

ORDER FORM

Fill out form completely, print and fax to: (970) 963-0559

Bill To:   Ship to:
Name _____________________________   Name _____________________________
Address _____________________________   Address _____________________________
City, State, Zip _____________________________   City, State, Zip _____________________________
Phone _____________________________   Phone _____________________________
Fax _____________________________   Fax _____________________________
E-mail _____________________________   E-mail _____________________________

RIDER INFORMATION

Total Height

  Body Height to
Sternal Notch
 
Inseam:
(Stand with your back to the wall and
‘straddle’ a 1” wide book. Measure to
the top of the book.)
  Lower Leg: L / R
(seated, from top of
kneecap to floor)
   
Shoulder Width:
(Stand with your arms extended
measure to the ‘notches’, not the muscles)
  Forearm: L / R
(from tip of elbow to
knobby bone on wrist)
   

Circle one on each line
Flexibility 1 (None) 2 3 4 5 6 7 8 9 10 (Yogi)
Lower Back Pain 1 (None) 2 3 4 5 6 7 8 9 10 (Ouch)
Upper Back /
Shoulder Pain
1 (None) 2 3 4 5 6 7 8 9 10 (Ouch)
Neck Pain 1 (None) 2 3 4 5 6 7 8 9 10 (Ouch)

CURRENT BIKE

Make   Model  
Size   Top Tube  
Seat Tube
(length, angle)
  Stem  
Back of Saddle
to Handlebar
  Handlebar
Drop / Lift
 

My Current Bike is: (Circle one on each line)
Steering

1 (Slow)

2 3 4 5 6 7 8 9 10 (Scary)
Rigidity 1 (Mush) 2 3 4 5 6 7 8 9 10 (Stiff)
Ride Comfort 1 (Nasty) 2 3 4 5 6 7 8 9 10 (Nice)
Reach 1 (Short) 2 3 4 5 6 7 8 9 10 (Long)

My New High Ti Bike Needs To Be: (Circle one on each line)
Steering

1 (Slow)

2 3 4 5 6 7 8 9 10 (Fast)
Rigidity 1 (Plush) 2 3 4 5 6 7 8 9 10 (Aggro)
Ride Comfort 1 (Plush) 2 3 4 5 6 7 8 9 10 (Aggro)
Reach 1 (Short) 2 3 4 5 6 7 8 9 10 (Long)

HIGH TI CYCLES, INC
TERMS AND CONDITIONS

 

Your signature of approval below indicates that you understand and agree to the following Terms and Conditions.

All information is true and correct.

Once High Ti Cycles receives your signed approval, you assume full responsibility for the specification to which you have agreed and you may not refuse delivery.

High Ti Cycles guarantees the accuracy of your frame to 1.5 mm for all lenghts and 0.3 degrees for all angles.

The ship date is an estimate. Due to the nature of custom building, lead times may vary.

Fabrication takes approximately 4 weeks after approval. Custom component assembly takes an additional week.

A non-refundable deposit of $1,000.00 is required before any drawings will be completed for your approval.


Signature ____________________________________________________________________

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Date________________________________________________________________________