Order  Form
To order via fax, phone or mail, please print this page and fill in the information below.

Personal Information

Name:___________________________ E-mail:__________________________ Tel:____________
Address:________________________ City:_________________ State: _______ Zip:__________

Birth Date:___________________ Height:____________ Weight:____________

Board Specifications
Shape:

a

Length:  

Decal Color:

Board Color:
 (Top)

 Board
Color:
(Bottom) 

Nose: Glassing:
(Top)

Middle:

Glassing:
(Bottom)

Tail 12" Up:

Finish:

   

Fins:

Tail Shape:

Serial #:

Price: Tax: Total:
Deposit: Balance: Order Date :
 

You may fax or send in your order to the address below. Any design information you do not understand, leave blank and Todd will fill out accordingly. A 50% down payment is required to begin all orders. Boards outstanding final payment upon 30 days from completion will forfeit deposit.

Fax this form to: (805) 491-8923


Proctor Surfboards P.O. Box 516 Ventura, CA 93002
Tel: 805.491.8973     Fax: 805.491.8923