Aerial Rig request form 2018
Thanks for your interest in my Portable Aerial rig.
This form indicates what rig type and options you are seeking.
To place the order, follow this form with payment on PayPal to my account. See payment instructions.
A deposit of $1000 minimum, will hold your spot in production, Balance will be due before shipping.
Allow 2-3 weeks for delivery. 1 week longer if a custom color.

Customer Name *
Your answer
Your Phone Number *
State if Cell or land line, example format xxx-xxx-xxxx-cell. GIVE ME A PHONE NUMBER WHERE YOU CAN ACTUALLY BE REACHED., I or UPS might HAVE to reach you to deliver your product
Your answer
Your e-mail Addr. *
Your answer
type of Rig ( now includes 5.5-ft extn feet) *
If using form to just order replacement or extra parts, then choose 'NONE'
COLOR, *
ALL STOCK RIGS ARE NOW BLACK, OR enter your CUSTOM Color name and Color Number choice from color chart, Powder coat paint is included in price of rig., A few colors (mostly the metallic) require an add'l UV protective overcoat, The UV is an add'l $100. If postponing color choice, then enter ' LATER ' PLEASE try to avoid using 'LATER', or if you do, get me the color within a few days, often the rigs go to PAINT within a few days of getting your order. PLEASE READ NOTE ABOUT CUSTOM COLORS AND THE DRAWBACK IN CASE YOU NEED TO BUY JUST A SMALL AMOUNT OF CUSTOM PAINTED REPLACEMENT PARTS.
HEADER Size *
Quad Rig comes with 4-ft header, optional 6-ft header, Rare that anyone will need a 6-ft header, maybe a school for low height training, or Aerial Yoga for 2 people on one rig. Occasionally aerial performers with acts that require 2 performers at same time or really wide apparatus..
Extra eyebolts *
EXTRA Eye-bolts, Rig comes with one eye-bolt installed., install up to four extra on 4ft header, up to 6 extra on 6ft header, (Shipping is $9 for an eye-bolt order only )
eyebolts loc *
Location for eyebolts ordered above, 4 ft header has 5 eyebolt holes, 6ft header has 7 eyebolt holes. For the header you are getting, state which location you want the eyebolts #1,#2,#3,#4,#5,#6,#7. For 4-ft header, pos #1 and #7 do not exist. Any combination you might need for your apparatus or pulley system. EXAMPLE for a silk, trapeze, and a pulley on very side,on 4-ft header for 4 eyebolts in ENTER. #3, #4, #5, #6
Required
EyeBolt locations
Extra header,
In addition to one that comes with the rig. Will only be sold with a rig or existing rig customer,
Extra eyebolts-2 *
EXTRA Eye-bolts, Rig comes with one eye-bolt installed., install up to four extra on 4ft header, up to 6 extra on 6ft header, (Shipping is $9 for an eye-bolt order only )
eyebolt loc-2 *
For extra header, Location for eyebolts ordered above, 4 ft header has 5 eyebolt holes, 6ft header has 7 eyebolt holes. For the header you are getting, state which location you want the eyebolts #1,#2,#3,#4,#5,#6,#7. For 4-ft header, pos #1 and #7 do not exist. Any combination you might need for your apparatus or pulley system. EXAMPLE for a silk, trapeze, and a pulley on very side,on 4-ft header for 4 eyebolts in ENTER. #3, #4, #5, #6
Required
eye-bolts, includes eyebolt, washer, nut, nylock nut
Tie off Cleats, *
( used for tying pulley ropes to feet. ) Qty of Tie off cleats desired (optional cost $13 each ) Most people only need 1 or 2 cleats for each pulley system used
Tie-off cleat
Screws, qty
SPARE or replacement Stainless Steel Set Screws 1/2-13 x 5/8" long. Your rig comes with all the screws you need plus 3 spares. EXTRAS are $1 cents each, Shipping is $6 for screws only order, NOTE, most hardware stores have these.
Set screws and other misc hardware. R-clip, allen wrench, spring clip, and pin w/spring (PTO pin) are all available in just about any hardware store.
Straps
EXTRA straps if you lose or destroy yours. ( rig comes with 4 )
Legs
EXTRA or replacement leg section. to make your rig higher if you bought a rig shorter than the 16-20 ft rig. or replacement leg if you damaged one, (like lose one, if you failed to use the straps as required or run over it with a truck) , Will only be sold with a rig or existing rig customer,
Feet
EXTRA or replacement 5.5ft adjustable FEET, these come with the straps and hardware, Will only be sold with a rig or existing rig customer,
Lyras
Lyras under 30" $175, 30" to 38" $200, over 38" $225, tabs are $25 each. if you have special needs or need more than 1, put that in comments area.
Stilts
Dance Stilts, 2ft or 3 ft high, extra set of pegs cost $150 per set.. Any special requirements, but in Comment field.
Shipping address *
Please provide a COMPLETE addr. if it is a BUSINESS location, provide the NAME of the BUSINESS
Your answer
Residential or Commercial *
IF YOU PICK-UP You will have to pay a 7.65%^ sales tax, about $140 for a 20 ft rig. There is an extra SUR-charge by UPS to deliver the rigs to a residential address. $3.60 per box. ALSO Some ZIP CODE areas are designated as REMOTE delivery by UPS and they charge an add'l SURCHARGE of $3 per package.
Shipping contact *
NAME and Phone# if different from your phone number. If same, then just enter 'SAME', State if Cell or land line, example format xxx-xxx-xxxx-cell, GIVE ME A PHONE NUMBER WHERE YOU CAN ACTUALLY BE REACHED., UPS might HAVE to reach you to deliver your product.
Your answer
Comment
Your answer
Due date/RUSH?
Your answer
Were you referred to me by anyone?
Your answer
I verify *
That I have read the manual, disclaimers and warnings and I acknowledge that using this equipment is a very dangerous activity.us
Your order is NOT complete until you make payment, MINIMUM $1000 deposit for a rig or approx 50% of estimated parts order. Please PRINT FORM using browser 'print' feature BEFORE submitting, after you 'SUBMIT form, scroll UP to see submit confirmation. (Google bug in form submitting)
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