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 ___________ |
| Rod size:
Line wt. _________________ |
Primary use:
_________________________ |
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Length: _________________ |
(trout,
steelhead, salmon, other; fresh or saltwater) |
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| Blank
make: SAGE____
model _____ piece (3/4) ___ Winston ____ model _____
piece (3/4) ___ |
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Thomas & Thomas ____ model _____ piece
(3/4) ___ Scott ___ model ____ piece ___ |
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| Reel
seat: Nickel-silver bright ___ Seat
Model: _________________ Seat style:
Up-locking ___ |
| Nickel-silver
blued ___
(i.e., Struble U24, etc.)
Down-locking ___ |
| Titanium/other
___
All cork w/sliding
bands ___ |
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Reel seat insert: Burl maple ___ Fiddleback
maple ___ Burl walnut ___ Burl cherry ___ |
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Burl black
ash ___ Burl Thuya ___ Cocobolo ___ Vera
___ Ebony ___ |
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Imbuya ___
Amboyna ___ Goncalo alvez ___ |
Guides: Hardened chrome ___ |
Guide size: |
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Traditional ___
Hardened black ___ |
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Oversized
___ TiCH smoke gray ___ |
Stripping
Guide: Nickel-Silver w/Agate liner |
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Y___N___
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| Hook
keeper: Inv.U ___ Ring ___ |
Dressing/trim
colors: _____________________ |
| Classic English
___ |
Personalized:
Y ___ N ___ |
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Name:
________________ |
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_____________ |
| Rod
specifications: Line wt. ____ Length ____
Primary use: ____________________________ |
| Taper
preference: ________________________ (collectible,
trout, steelhead, other) |
| Reel
seat - ferrules: Nickel-silver bright ___
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Reel
seat style: Up-locking ___ |
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Nickel-silver
blued ___ |
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Down-locking ___ |
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Custom Engraving
___ |
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All cork w/sliding bands ___ |
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Reel seat insert: Burl maple ___ Fiddleback
maple ___ Burl black ash ___ Burl cherry ___ |
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Burl walnut ___ Burl Thuya ___ Ebony ___ Vera ___ Cocobolo
___ |
| Guides:
Hardened chrome ___ |
Stripping
Guide: Traditional ___ |
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Hardened black ___ |
Nickel-Silver w/Agate liner ___ |
| Rod
cane color: Natural blonde ___ |
Dressings:
Multiple selections, fine silk: classic chestnut, antique
gold, amber, lt. olive, cardinal, java brown, claret, and
other classic colors of distinction.
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Flame Darkened ___ |
| Tip
Sections: (1or 2) ___ |
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Note:
For confirmation, orders must be accompanied by a nonrefundable
25% deposit on the total price.
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The
balance will be due in full upon notification of completion
and prior to shipment of my fly rod.
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I
agree to the specifications, conditions and terms stated
in this order form.
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Signature:
______________________________________________ Date: ____________________
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