Split Singles (P-92) Printable Order Form
Fill out this form, Print it out and Submit with 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
Select Type of Split Single:     Need More info on Split Singles	P-92 (Adjustable Pole Pieces) Twangmaster (ALNICO V Rods)
Sets: select how many you need?	N/A 1 2 3 4 5 Sets of Split Singles = $260/$264 with Gold Covers
Neck Pickups: select how many?	N/A 1 2 3 4 5 Neck Split Singles = $130/$132 ea. with Gold Cover
What output for the neck? * Recommended value for neck is 8500 winds	8,000 to 10,000 winds of 42 gauge
Bridge Pickups: select how many?	N/A 1 2 3 4 5 Bridge Split Singles = $130/$132 ea. with Gold Cover
What output for the bridge? * Recommended value for bridge is 10,000 winds/42 gauge	8,000 to 10,000 winds of 42 gauge 9,000 to 11,000 winds of 43 gauge
What type of lead?	Gibson braided shield 2 Conductor for Phase Matching
If you are getting covers what color? *Covers required for Split Singles	Nickel Black Gold $2.00/ea extra
Total amount enclosed with this order?	$
Notes regarding this order:
Lindy Fralin Pickups, 2015 West Laburnum Ave. 2nd Floor, Richmond VA, 23227 Phone: 804-358-2699, Fax: 804-358-3431
Split Singles Printable Order Form