Customer Information:
Name: Address:
City State: Zip:
Height: Weight: Skill Level:
Type of riding you do: Type of terrain:
Home Phone: Work Phone:
Cell phone: Pager:
Email address:  

Address you will have the Bike shipped:
(If a commercial address we must have the name of the business)

Name: Attn: Address:
City: State: Zip:

*Bikes will be shipped in order of receipt of deposit.
*Bikes can be shipped to your residential address completely assembled at additional cost.
*Bikes can also be shipped to your commercial address in a crate (loading dock required) this option will save you money as we have a contract with Yellow freight.
*If you do not have a commercial address to ship to you can pick the bike up at the nearest Yellow freight terminal. This is a useful option as the terminal personnel can help you load the crate in your truck or trailer.

Service Honda SRX250R Ordering Instructions
How to order your new bike

1) Fill out the order form including description and price and return it to us or call us at (219) 932-3588.
2) Fill out the rider information section of this page.
3) Total the order form including the price of the base bike.
4) Send a cashier's check for $1000 to Service Honda at 5634 Hohman Ave. Hammond IN. 46320 or call with your credit card.
5) We will notify you after we receive your deposit with a projected (estimate only) delivery time line.
6) Ordered options may be changed for 2 days after the date of the original order. After 2 days added options will be shipped with the bike but not installed.
7) Final payment must be made via certified funds.


One 2004 Service Honda SRX250R Kit
Deposit (required) $1000
Balance (due prior to shipping)