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Order Form: Inline Skate Frame
This form is to be completed by customers who have boots that they would like to use with PicSkates or Jackson ATOMS.
Customers who do not have boots must complete the Fitting Form first.
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Email
*
Your email
Skater Name
*
Your answer
Parent/Guardian Name (if applicable)
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
The boots I have currently have a blade attached that will need to be removed prior to installing the PicSkate:
*
Choose
Yes
No
Boot Make
*
Choose
Jackson
Gam
Edea
Riedell
Other (indicate in the comment section at the end of the form)
Boot Model (eg Freestyle, Ice Fly etc)
*
Your answer
Boot Size
Your answer
Comments:
Your answer
Send me a copy of my responses.
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