Dry Suit Order Form

Name_______________________________________ Date _______________

Shipping Address _________________________________________________

________________________________________________________________

Phone & Email (optional) ___________________________________________

Top Color _____________________ Bottom Color ______________________

Size ___________ Model: Breeze (B) or Seal Saver (SS) ____________

Seal Saver: $260
Breeze: $240
Shipping (to U.S.) & Handling: $15

Amount of enclosed check PAYABLE TO: "Air Bergy" $_______________

Mail to:
Eric Bergoust
2307 S. 7th W.
Missoula MT 59801

Sizes:
XS: Height 4' 11" - 5' 2" (1.50m - 1.58m)   Weight: 90-115 lbs. (40.8 kg - 52.2 kg)
SM: Height 5' 3" - 5' 6" (1.60m - 1.68m)   Weight: 115-135 lbs. (52.2 kg - 61.2 kg)
MD: Height 5' 7" – 5' 10" (1.70m - 1.78m)   Weight: 135-160 lbs. (61.2 kg - 72.6 kg)
LG: Height 5' 11" – 6' 1" (1.80m - 1.85m)   Weight: 165-200 lbs. (74.8 kg - 90.7 kg)
XL: Height 6' 1" - 6' 3" (1.85m - 1.91m)   Weight: 200-230 lbs. (90.7 kg - 104.3 kg)
XXL: Height 6' 2" - 6' 4" (1.88m - 1.93m)   Weight: 230-260 lbs. (104.3 kg - 117.9 kg)