CUSTOM SEAT ORDER FORM

CUSTOMER

VEHICLE

Name: _______________________________________

Make:________________________________________

Address:______________________________________

Chassis:______________________________________

Address:______________________________________

Year:_________________________________________

City:_________________________________________

METHOD OF PAYMENT

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VISA MasterCard

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Fax:___________________________________________

Exp. Date:_________ #digit security Code__________

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Please measure your hips first -- one of our standard sizes will probably fit you perfectly

How to properly measure yourself so you can choose the correct size KIRKEY seat:
One of our standard size seats will probably fit you perfectly. We have built thousands of seats over the years and have optimized the dimension to fit almost everybody. If none of our standard sizes fit we can custom tailor one to your measurements. Either way you must measure accurately to choose the right seat.

EXTREMELY IMPORTANT!!! ALL MEASUREMENTS MUST BE TAKEN IN ABSOLUTELY STRAIGHT LINES. USE A YARDSTICK OR STAGER GAUGE. IF USING A TAPE MEASURE DO NOT LET IT FOLLOW THE CURVES OF THE BODY.

A) Width of Chest – Gives width of seat at the rib supports. Have driver stand with arms raised slightly, measure side to side 1 ½” below armpits. (Use two straight edges placed parallel under armpit) – see diagram below.

B) Width of Hips – Gives width of seat at hip area. Have driver sit on a bench or table with legs hanging over the side. Measure through the centerline of body side to side. Do not measure across the lap of the driver. This will give a wider than required measurement. See the shop drawings for each seat. – see diagram below.

C) Height of Armpit – Gives height of rib support. With driver still sitting as on a bench or table, measure from flat surface to armpit. Make sure drivers shoulders are completely level across back. Make sure driver is sitting with back completely straight – see diagram below.

D) Height of Shoulders – Gives height of shoulder harness opening. With driver sitting in same position as above, measure from flat surface to top of shoulder. If you are using the HANS Device please add 3/4" to ther shoulder height. – see diagram below.

E) Chest Depth – Give length of rib supports. Have driver stand with back against a wall, measure from wall to front of chest approximately 1 ½” below armpit – see diagram below.

F) Shoulder Width – Gives width of shoulders for seats with built in shoulder supports. Have driver sit on flat surface and place hands as if they were on the steering wheel in the car. Put two straight edges on each side of the driver 1 ½” below the flat part of the shoulder – see diagram below.

We will also need the drivers height and weight for custom seats.

HANS DEVICE BEING USED ?

YES NO