Power Drive Hawaii Surfboards, Inc. Order Form Print & FAX to: (808) 637-7085 (or mail to P.O. Box 8165, Honolulu, Hawaii 96830-0165)

Cellular (808) 741-7085 / Telephone (808) 637-7085

E-mail: powerdrivesurf@hotmail.com

Name:	Height
Address:	Weight
	Phone:
E-mail:	FAX:

Length		Width			Thickness					Tail Design
Rails		Nose Width		Tail Width	Nose Rocker		Tail Rocker			Model
Comment:										Experience
Top Color				Glassing				Bottom Color
				 4 x 4 x D  6 x 4 x D  Other		 4  6  Other
Price	Deposit / Date		Balance / Date					Fins
$						 FCS  Future			 Glass-on  Other