ILANA CUSTOM MADE ORDER FORM 2018 - Ilana Car Seat …

1 MIDDLE SEATS (Tick what s applicable) COMMENTS or DIAGRAM BACKREST 50/50 60/40 40/60 40/20/40 FULL BENCH BASE 50/50 60/40 40/60 40/20/40 FULL BENCH HEADRESTS NO 2 H/R 3 H/R ADJUSTABLE / MOULDED SIDE BOLSTERS ON BACK YES NO ARMREST REQUIRED YES NO BOOT ACCESS REQUIRED YES NO DEPLOY SAFE AIRBAGS YES NO REAR SEATS (Tick what s applicable) COMMENTS or DIAGRAM BACKREST 50/50 60/40 40/60 40/20/40 FULL BENCH BASE 50/50 60/40 40/60 40/20/40 FULL BENCH HEADRESTS NO 2 H/R 3 H/R ADJUSTABLE / MOULDED SIDE BOLSTERS ON BACK YES NO ARMREST REQUIRED YES NO BOOT ACCESS REQUIRED YES NO DEPLOY SAFE AIRBAGS YES NOREAR MAP POCKET CUT OUT (SLIT TO USE EXISTING MAP POCKET)

2 HEADRESTS REQ 2 H/R 3 H/R ADJUSTABLE / MOULDED ARMEST REQUIRED YES NO DEPLOY SAFE AIRBAGS YES NO BUCKET SEATSFULL WIDTH BENCH BUCKET & BENCH CENTREFOLD BENCH GEARSTICK CUT OUT S L Date of ORDER : .. ORDER Number: ..Store Name: ..Contact Name: ..Telephone Number: (..)..Make: ..Model: .. Class/Series: ..Month/Year: ..Body Type: ..Phone: (03) 9419 4228 E-mail: Website: CUSTOM MADE ORDER form 2018 STORE DETAILSVEHICLE DETAILSCUSTOMFIT BOOKPICTURECUSTOMFIT BOOKPICTURECUSTOMFIT BOOKPICTURED river/PassengerDriver/PassengerDriver/Pa ssengerDriver/Passenger Dispatch Details _____Custom Fit Seat Covers Are Non-Returnable.

3 It is essential that all the above information is completed. Orders will not be processed unless all correct relevant information is provided by fax. ALL CUSTOM MADE SEAT COVERS COME WITH FABRIC TIES TO ALLOW FOR A BETTER FIT FRONT SEATS (Tick what s applicable) COMMENTS or DIAGRAMEG: FORDEG: FALCONEG: FG XR6EG: 02/2010EG: SEDAN EXPRESS - MADE WITHIN 3 WORKING DAYS (extra $ PER ROW) NORMAL - MADE WITHIN 7 WORKING DAYSC ustomer s Name and Phone Number: ..FAX TO: 03 9416 0317 OR E-MAIL TO: COLOUR BLACK BLACK/BLUE BLACK/RED PINK RED GREY IVORY OTHER.

4 (please circle) CHARCOAL BLACK/GREY BLACK/WHITE PURPLE BLUE BROWN MOCHA BEIGE 2P DROVER (16mm)3P RIVERGUM (20mm)4P SNOWY FLEECE (25mm)5P ADVENTURER (25mm) (WITH SKIN SKIRTING)FABRICS (please circle)ESSENTIAL SHEEPSKIN COLLECTIONSELECT(FOR SHEEPSKIN ONLY)SKIN / FUR(ACRYLIC BACKING)SKIN / SKIN(SHEEPSKIN BACKING)ACRYLIC FURALTITUDE BLACK BULL CAPRICE CHARISMA COMPASS DURA TUFF ELEGANT ESTEEM HOT ZEBRA LUXURY MATADOR NOVA OUTBACK SAN MARINO SPORTS RIDER VENICE VOGUE WET N WILD WILD LEOPARD OTHER.