Online Order Form

Dale Chapman Surf Designs
3/48 Junction Road, West Burleigh
QLD Australia 4220
Phone: (07) 5593 8411 Fax: (07) 5593 7544 Mobile: 0416 160335
E-mail Address: dchapman@onthenet.com.au

Personal Information

*Name:

Date:

Due Date:

*Street:

Height:

Weight:

*Suburb:

*Email:

*State: *Postcode

*Country:

Contact Numbers Home: Work: Mobile: Fax:

Board Information

Shape Particulars:
1. Basic Information Required: Length, Width, Tailshape.
2. If You Dont Know The Exact Dimensions Required, Leave It Up to Shaper

Rails Low Mid High

Nose Width Tail Width

Length Width Thickness

Bottom Shape

Tail Shape



Round Pin	Round Tail	Squash	Rounded Square	Square	Swallow	Hip	Single Wing	Double Wing

Glassing

Fins

Spray Details

Xtra Strong 6 - 6 x 6

Strong 6 - 6 x 4

Normal 4 - 6 x 4

Medium 4 - 4 x 4

Team 4 - 4 x 3/4

Ultra-Lite 4 - 4 x 1/4

Leave To Shaper

Other

Black White

Speedfins

Excel Size

FCS Size

Glassed In

Future Fins

Single

Box Fin
Stabilisers

Decals & Sprays will be organised via email once order has been received

Additional Information

Finish

1/4 Stringer

Sand

Polish

Pro-Tech

Wet N' Dry

Half Gloss

Other