First Name

Last Name

Street Address

City, State, Zip

Phone

Email

Date of Purchase

Style of Seat Over Existing Seat Over Bare Fender

Please take a moment to complete the following:

How did you find out about the ButtyBuddy seat?

Recommended by a friend
Google
Other search engine
Motorcycle rally
Hot Bike magazine
Street Chopper magazine
Baggers magazine
American Iron magazine
Road Bike magazine
V-Twin magazine
Iron Horse magazine
American Bagger magazine
Other magazine
Dealer

Name of Dealer (if applicable)

Dealer location (City / State)

What kind of motorcycle are you using the ButtyBuddy seat on (year, make, model, etc)

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Suggestions or General Comments

Thank you for purchasing your ButtyBuddy seat, filling out your on-line lifetime warranty info, and for taking time to provide us with this survey information.