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 Hydro Dynamics

 Print, Mail to:
Hydro Dynamics 
714 S. Main, Quitman, Texas 75783

Date of Order: __________
Customer Name:___________________________
Address: _________________________________
City: ____________________________________
State - Zip:__________________
Phone: _______________________
E-mail: _______________________________________

Boat:    Year:_____ Model:_____________
              Make:______________________ Length:________________
Motor:  Year:__________ HP:_____________
              Make:_____________________ Ltr:______________
Current Plate: _________________________
Setback: _________________
Midsection Length: 15" 20" 25"
Lower Unit:__________ STD_____ HD____ LWP______________

PLATE BUILD WORKSHEET
(for mfg only)
Setback:
Magnum ___Standard ___EZ- Lift___
Backpiece:  Standard___Highback ____Custom___
Powdercoat Color:  Yes - No   Color:________________________
Fishing Models: Talon______ Powerpole________
Top Plate __________ Btm Plate _____________
Additional Parts:________________________________________________

Notes:_____________ Cost:_____________________
Jackplate: ________________
Powdercoat: ______________
Accessories:_______________
Ship: ____________________
Tax: ____________________
Total: ___________________

Credit Card #___________________________________
Expiration Date____________
(to be shredded when complete)