OFFICE USE ONLY MAIN CANOPY: ________________ UPT TO ORDER ASSEMBLY REQUIRED RESERVE CANOPY: ________________ UPT TO ORDER V3____ DEALER NAME: DEALER CODE SERIAL NUMBER CUSTOMER NAME / PO #: SALES ORDER NUMBER CANOPY ORDERS RECEIVE DATE PROMISE DATE CONTAINER SIZE: $ COLORS (please refer to diagram): SPLIT COLOR PATTERN (please attach form) CONTAINER 1.______________ CENTER FLAP $ STRIPES a. CENTER FLAP PIPING EMBROIDERY YOKE (#7 above) not available 2.______________ A.______________ b._______________ 3.______________ B.______________ c._______________ 4.______________ C.______________ d._______________ 5.______________ D.______________ e._______________ 6.______________ E.______________ f._______________ 7.______________ F.______________ g._______________ 8.______________ G.______________ h. LEG PAD Color:___________________ $ HOOK KNIFE ____________________________ Color:______________ RING COVER EMBROIDERY $Left:________________________ Color:______________ Script BLOCK Color:______________ Script BLOCK $Left:________________________ Color:______________ Script BLOCK: $ Right:______________________ SIDEWALL EMBROIDERY not available Right: V303 - V320 OR HEIGHT:_______ FREEFLY MOD OR STANDARD DELUXE BACKPAD TRIM TAPE: Color: __________________ HARNESS: Color: __________________ WEIGHT: _______ MAGNETIC RISER COVERS (standard) (Black) $3D SPACER FOAM BACK PAD & LEG PADS* CHEST:_______ $PADDED STABILIZERS WAIST: _______ TRIM COLOR $VARIABLE GEOMETRY HARNESS (HIP RINGS) RISERS: 19” 21” 23” one piece leg pad SPECIAL INSTRUCTIONS: INSEAM: _______ $ LOUIE LOOPS LOUIE LOOPS LOW DRAG $ RSL SEX: _______ $ SKYHOOK RSL RESERVE RIPCORD: STANDARD: SPECTRA (only with RSL or Skyhook) METAL CABLE METAL “D” HANDLE LOW PROFILE “D” HANDLE $SOFT HANDLE CUTAWAY HANDLE: Color: __________________ Soft Handle Color: __________________ PILOT CHUTE: 27” CENTERLINE PILOT CHUTE: $SEMI STOWLESS BAG (up to size V358) Handle: OR WINGSUIT BRIDLE PILOTCHUTE 30” = Additional Option $ Extra Cost MLW:________ OSA:________ LEG PAD: ________ STAGGER:________ STABILIZER: ________ ZP (Black Only) PLASTIC MONKEY FIST FREEFLY $HACKEY WINGSUIT CORNERS = “One of” Selection F111 (White Only) $ $ WINGSUIT OPTIONS: TORSO:_______ LEG PAD: _______ two piece leg pads Mini Ring w/ Type 17 Webbing Large Ring w/ Type 8 Webbing Color:____________ V326+ BODY CONTACT: Color: ______________ $ $ (required) Color:_________ & _________ Uninsured STITCHING: $CONTRAST STITCHING (limited color availability) Color: _________________ JC’S STYLE STITCH( limited color availability) Color: _________________ United Parachute Technologies ,LLC 1645 Lexington Avenue DeLand, Fl 32724-2106 USA Telephone: +1 386 736 7589 Fax: +1 386 734 7537 www.uptvector.com [email protected] n Av A 386 r.com ¹Pullout Main Deployment requires PUD (Pullout) Handle. The spectra ripcord is only available on Containers with RSL or Skyhook. 4-21 734 Form-131 Rev. 14 - 12/18/2014 1:1
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