Please fill in this form and email it to us by pressing the submit button. If you are unsure of any specification just leave them blank and our shapers will make recommendations.

Please note: enquires submitted without nominating an airport or address will not be answered. Also due to freight problems we do not ship boards over 8 feet in length.

Contact Details
Name		Country	*Only required if other than Australia
Address		Home Phone
Suburb / Airport*		Business Phone
State	NSW QLD VIC SA WA TAS ACT NT Other (Overseas)	Mobile
PostCode		Email*

Your Details
Height (cm)	Weight (kgs)	Age (years)
Surfing Ability	Beginner Average Advanced

Board Details
Preferred Shaper	don't mind who Gunter Rohn Brian Ingham Tony Cerff
My Measuresment are in		cm   feet & inches
Length	Width	Thickness
	Tail Width	Nose Width

Rails
	Low Mid High

Bottom Shape
Select	A - Rounded Pin B - Roundtail C - Squash D - Rounded Square E - Square F - Swallow/Fish G - Hip H - Single Wing I - Double Wing

Fins
FCS	Fixed

Logos
Arrow	Oval	Logo Colours don't mind black & white black & yellow black & red black & blue

Finish
Full Gloss Hand Polish (Extra $50)	Protec

Special Needs / Comments

Note: For sprays you may need to fax +61 (0)2 6681 5879 or email enquiries@localmotion.com.au your design so we can provide a quote