Pop Up Info/Order Form "POPUPTRAILERCANVAS.COM" Around The Corner & Around The World !

Prices Include Shipping Regular Ground in the U.S.A.( Full Canvas Only )

WE DO NOT COVER SHIPPING OF OLD CANVAS TO OUR PRODUCTION FACILITY

To ensure proper fit please provide as much info as possible

You may fill this form out online and fax to 978-681-4163

Make & Or Model (Coleman,Starcraft,Etc. )

Manufacturer ( Vesely, Vanguard, Etc. )

Model Year Or Date Of Manufacture

VEH. ID. NO. Canvas Production NO.

(Sometimes found on canvas near doorway or on backside of canvas above window.) Using the diagram, measure the roof length and open length.

ROOF LENGTH

wpe1C9.jpg (6238 bytes)

OPEN LENGTH

ARE YOU SENDING OLD CANVAS? YES NO Please Check One (check Product page or call)

If Sending Old Canvas Send To Our Production Facility At:

K R Canvas Replacements

W2299 STATE HIGHWAY 98

LOYAL, WISCONSIN 54446

Payment Info & all other correspondence should be Fax to 1-978-681-4163

Or Mail to King Richard Canvas P.O. Box 883 North Andover, Ma 01845

You May also Phone in your order, Please call 978-687-9175

Your Name

Address City:

State Zip Email

Phone: Fax:

Credit Card info below may be filled in after you print this order / info page Prior to faxing Or Mailing.

CC# EX Date

Credit Card Verification # (3 or 4 Digit Number on the back of Credit Card

Mail To: King Richard P.O. Box 883 No. Andover ,Ma 01845

Please make sure we have your contact info, Such as Email, Address & Phone #

Please Sign Before Mailing Or Faxing Signature ___________________________

By Signing Client agrees to our order Terms/Conditions and to pay Order Total

Order Terms & Conditions can be viewed online at WWW.KingRichard.Net/OrderTerms.htm

Click your print button to print a copy before you click submit.