Registrations & Ordering Information
This worksheet can be used to specify needed personal information and order items. Simply fill in the applicable worksheet items desired and when you push the "Submit" button, the information will be emailed to RadVentures. Call 1-971-219-4897 or FAX 1-503-628-0517 or email RADYETTI@aol.com when you have finished to provide your payment information and method.

Bill To:

Name:
Company:
Address1:
Address2:
City, State, Zip:
Phone:
Email address:

Ship To:

Name:
Company:
Address1:
Address2:
City, State, Zip:

Measurement  Information

Type of Injury:
Level of Injury:
Waist Size:
Height:
Weight:
Inches around hips at widest point: (while seated, sit on tape and draw
up & around lap)
Inches around both legs: (legs together 2-3 inches above knees)
Ski Boots Width: (in inches across widest part of sole)
Ski Boots Length: (in inches heel to toe)
Boot Manufacturer / Size
Length, Chair Back to Knee: (while seated, inches from back of chair
to front of knee)
Knee to Heel: (while seated, inches from knee to heel)
Preferred Seat back height in inches:

Outrigger Order  Information

Select a type of Outrigger


Select Outrigger top style

Measurements

3Track
(while standing, distance in inches and feet from closed fist to floor, with arm hanging in natural position at side)


Monoski/BiSki
(Type of unit now skiing in, Mfg)

Select a Braking System
Select a Ski Tip Flip
Select a Crutch Top

MonoSki Order  Information

All Packages include outriggers, K2 Ski and modified binding Yetti Packages
Deductions from the Yetti Package Deduct Outriggers
Deduct K2 Ski
Deduct Modified Binding
Ski and Bindings Addtional Ski
Additional Modified Ski Binding
Color Options *Custom items are limited to stock on hand and are subject to additional cost.
Type in your desired
Seat Color Schemes:
Background Color

"Splatter" Color
Select Insert Size
Accessories

Chest Strap
Chest Harness
Leg Cover
Travel Bag
Kidney Belt & Plate

Program Monoski Upgrade Kit Only
with new Shock & shock towers

Accessory Order  Information

Shirts

Style 1: "It's all a state of mind"

Style 2: "Disabled"

Style 3: "Unleashed Beast"

Hats

Patches
Videos

Name Qty
Name Qty

Grip Mitts