Custom Order Form

Kultured Rider Custom Order Form

Please email design@kulturedrider.com to schedule your appointment for custom orders. 

We will review your request and contact you within 5-7 business days to discuss your order and provide a quote.

Customer Information:

Full Name: 

Email Address: 

Phone Number: 

Shipping Address:
Street: 
City: 
State/Province: 
Postal/Zip Code: 
Country: 

Custom Order Details:

Product Name/Description: 

Product SKU (if applicable): 

Quantity: 

Size/Dimensions (if applicable): 

Color/Pattern (if applicable): 

Material/Finish (if applicable): 

Additional Customization Details:

Attachments:

Please attach the measurement chart and images, or reference materials that may help us understand your custom order requirements (e.g., design sketches or inspiration images).

Delivery & Deadlines:

• Preferred Delivery Date:
• Is this order time-sensitive? ☐ Yes ☐ No
• Rush Order (additional fees may apply): ☐ Yes ☐ No

Pricing & Payment:

Pricing for custom orders may vary based on specifications, materials, and time required to complete the order. Once we receive your request, our team will provide you with a quote.

• Estimated Budget (optional):
  
• Payment Method (Check one):
  ☐ Credit/Debit Card
  ☐ PayPal
  ☐ Bank Transfer
  ☐ Cash: 
  

Additional Comments:

Customer Signature:                                                    Date: 

Thank you for choosing Kultured Rider for your custom order! 

If you have any questions, feel free to reach out to us at design@kulturedrider.com.