| Standard Humbucker Order Form | ||
|---|---|---|
| Fill out this form, Print it out and Submit with your order (Feel free to make any notes necessary pertaining to your order) | ||
| Your Name: | ||
| Daytime street address: | ||
| Daytime street address (cont.): | ||
| City, State, Zip Code: | , , - | |
| Daytime phone number: (*Required for FedEX) | ||
| Shipping Rates: (*We only charge for 1st pound) | US Orders = $12 / Overseas Orders = Call for Quote | |
| Sets: select how many do you need? | Whole sets = $240.00/set | |
| Neck Pickups: select how many? | Necks $120.00 each | |
| What output for the neck? (* 8k = Recommended/Most Popular value*) |
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| Bridge Pickups: select how many? | Bridges $120.00 each | |
| What output for the bridge? (* 9k = Recommended/Most Popular value*) |
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| What color humbucker do you need? |
Black Zebra |
|
| What type of lead? | Gibson® braided shield 3 conductor w/shield or 4 conductor w/shield | |
| If you are getting covers what color? | N/A Nickel $10.00 extra Gold $12.00 extra | |
| Notes/Comments regarding your order: | ||
| Total amount enclosed with this order? | $ | |
| Lindy Fralin Pickups, 2015 West Laburnum Ave. 2nd Floor, Richmond VA, 23227, Phone: 804-358-2699, Fax: 804-358-3431 | ||
| Standard Humbucker Order Form | ||