| Pure PAF 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 = $15 / Overseas Orders = Call for Quote | |
| Sets: select how many do you need? | Whole sets = $260.00/set | |
| Neck Pickups: select how many? | Necks $130.00 each | |
| Pure PAF Neck Output | 7.5k | |
| Bridge Pickups: select how many? | Bridges $130.00 each | |
| Pure PAF Bridge Output | 8k | |
| What color humbucker do you need? |
Black Zebra |
|
| What type of lead? (Coil-tapping not recommended) | Gibson® braided shield (* recommended) 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 | ||
| Pure PAF Order Form | ||