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