Riverside Enterprises
Phone: 1-509-737-0921Order Form Fax: 1-509-734-0251
Personal Information
| Name Address City |
| StateZip Phone: Home Work |
| Email AddressCoach Make Model |
Order Information: Check Desired Items
| Eight Foot Skirt Plate: 7’ 8" x 6" (92" X 6")-------------------------------------------------------------------------------------- ---- $195.00 |
| ---------Stock:-----Custom (Fill in desired text): |
| Also available are 8ft Backing Plates for added strength-- |
| ------ (Please Select One) --------------------------------------- ------ |
| Mud Guard Kit: One (1) 94"W x 20"H ------------------------------------------------------------------------------------------ ---------$59.00 |
| SPECIAL OFFER: (1) Mud Guard, (1) 8' Mud Guard Skirt Plate Weight, | Select a Package |
| (1) Backing Plate, and (1) Angled Steel. (check this and fill in info for 8' plate) |
All kits include one mounting hardware. Also, add 8.3% tax for WA residents. SHIPPING NOT INCLUDED
CUSTOM ORDERS ARE AN ADDITIONAL $20.00!
Payment Information
| Payment Method (Check One): Check Money Order |
| Credit Card (Check One): Visa Master Card |
| Card Number Exp. Date: Month Year |
| Signature_______________________________________________________________ |
How did you hear about us?
| FMCA Internet/ Web Other (please specify): |