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tSpecials | Shopping | Care & Repair | Sizing Info | Contact Us |

Gasket Service Order Form


Make sure your drysuit or drytop is clean and dry. Pack it into a sturdy box. Insure for the replacement value of the suit and ship by UPS, FedEx or USPO to:

Lochsa Connection
889 Big Cedar Rd
Kooskia, ID 83539

? Questions? Contact us at: 800-929-1279 or email: infodesk@lochsaconnection.com

Shipping and Contact Information

Payment Information

Method of Payment:
Name on Card
Address
(if different than shipping information)
City, State and Zip
Phone
Signature X
Exp. Date

Drysuit/Drytop and Gasket Information

Suit Make
Suit Size Suit Color
Qty.
Description Gasket Size*
Price Each
Total Price
Neck Gasket
$39.00
Wrist Gasket
$22.00
Ankle Gasket One Size
$23.00
Latex Sock
$25.00
24 HOUR EXPRESS SERVICE
$10.00
Total Price for Gaskets
Sales Tax 6% (Idaho Only)
Shipping
Prices:
UPS ground: $12.00 | UPS 3rd Day: 20.00 | UPS 2nd Day: $30.00 | FedEx Overnight: $40.00
Shipping
Charge my Account
TOTAL
*gasket size is usually determined by suit size. If you need a different size gasket, use these guidelines. Neck Gaskets Neck circumference: S=12" - 14"; M=14" - 16"; L=16" - 19" Wrist Gaskets Wrist circumference: S=4" - 5-1/2"; M=5-1/2" - 6-1/2"; L=6-5/8" and over


Lochsa Connection - RR 1 Box 195 • Kooskia, ID • 83539 - Copyright 2005 • All Rights Reserved