Please Include this Order Form in with the seat and payment



City _________________State_____________ ZIP______________________


Personal Data

Height ___________    Weight ____________    Phone # ______________

Motorcycle Data

Year _____________  Make _____________  Model  ______________

Special Instructions____________________________________________________________________________________________


Money Order,      Cashiers Checks,      Personal Checks Accepted      PayPal

 Please make payment out to 'J. Agostisi'    

1" Thick Super Visco-Elastic Gel Memory Foam covered with 1/4"  Memory Foam - DRIVER SEAT Only

$199 Sale  $169

1" Thick" Super Visco-elastic Gel Memory Foam covered with 1/4" Memory Foam. DRIVER and PASSENGER SEATS                     

$219 Sale  $189


Aftermarket Seats  (Corbin, Mustang). 1 " Thick Super Visco-elastic Gel Memory Foam covered with 1/4" Memory Foam

$199 Sale $199

Sub Total __________ ______
NJ residents. Sales Tax Multiply .06 _______
Shipping $29.95
Shipping Insurance (optional) $5.00
Total Price _______


DISCLAIMER. We guarantee all workmanship for a period of one year from your original order date. WE CANNOT GUARANTEE THAT A GEL PAD AND MEMORY FOAM INSTALLATION WILL SOLVE ALL YOUR RIDING DISCOMFORT. EVERY INDIVIDUAL IS BUILT DIFFERENTLY AND EVERY ONE WILL GET DIFFERENT RESULTS. All customers that agree into a purchasing agreement for our custom reupholstering service agrees to this warranty and limitations of liability. We insure all parcels that we send with US Postal Service for $200. We do not accept responsibility if your parcel (seat) is lost once the Postal Service has it in their possession. 

NOTICE: Some aftermarket seats use a very strong glue to attach the cover to the seat foam. When we separate the cover from the foam it sometimes will cause a wrinkle effect on the cover.  We do our best to reinstall as prefect as when first installed at the factory.



 Shipping Label
Americana Soft Seats 
116 Brookview Cr.
Jamesburg, NJ 08831