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RPM Auto Seat Covers Ltd | Housses D'autos RPM Ltée
Seat Covers
ABOUT
SWATCHES
PRODUCTS
CONTACT
ORDER FORM
FR
ABOUT
SWATCHES
PRODUCTS
CONTACT
ORDER FORM
FR
Order Form
General information
Company name
(Required)
Contact (name of the person placing the order)
(Required)
Your Order #, P.O. #
(Required)
Street Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Telephone
(Required)
Email
(Required)
Year, Make, Model
(Required)
Option (CE, SE, XLT, CX, etc)
Number of Doors (If pertinent, EXT CAB, CREW CAB, HATCHBACK, etc)
(Required)
Air bag in seat back rest: Front
(Required)
Yes
No
Air bag in seat back rest: Back
Yes
No
Section(s) to cover
Front
Back
Other rows (3rd, 4th, 5th, specify
Fabric choice
(Required)
Choose
166 – Tan
167 – Black
174 – Charcoal
2107 – Black
2114 – Gray/Black
2126 – Beige
2442 – Blue
2521 – Burgundy
2737 – Ebony
2804 – Gray/Ebony
2884 – Silver Gray
2886 – Tan
2903 – Camo
2916 – Beige/Black
Second choice if unavailable
Front
Choose seat drawing closest to what you see in vehicule
Please enter a number from
1
to
97
.
Check all the extras that you want covered, or else, DO NOT CHECK anything that is not required
Seat Belt (integrated in the seat, top corner)
Power Seats
Head Rests
Console Top (Arm rest central section) - Solid
Console Top (Arm rest central section) - Opens
Console Bottom (Seat central section) - Solid
Console Bottom (Seat central section) - Opens
Quantity of head rests
Quantity of cup holders
Quantity of pockets on back of front seat
TOTAL quantity of arm rests required (small on side of seat)
Special Instructions
Back
Choose seat drawing closest to what you see in vehicule
Please enter a number from
1
to
97
.
Check all the extras that you want covered, or else, DO NOT CHECK anything that is not required
Seat Belt (integrated in the seat, top corner)
Power Seats
Head Rests
Console Top (Arm rest central section) - Solid
Console Top (Arm rest central section) - Opens
Console Bottom (Seat central section) - Solid
Console Bottom (Seat central section) - Opens
Quantity of head rests
Quantity of cup holders
TOTAL quantity of arm rests required (small on side of seat)
Special Instructions
Other Rows
Choose seat drawing closest to what you see in vehicule
Please enter a number from
1
to
97
.
Check all the extras that you want covered, or else, DO NOT CHECK anything that is not required
Seat Belt (integrated in the seat, top corner)
Power Seats
Head Rests
Console Top (Arm rest central section) - Solid
Console Top (Arm rest central section) - Opens
Console Bottom (Seat central section) - Solid
Console Bottom (Seat central section) - Opens
Quantity of head rests
Quantity of cup holders
TOTAL quantity of arm rests required (small on side of seat)
Special Instructions
Swatches
Seat Drawings
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