SILVER BACK 5th WHEEL ORDER FORM
Customer:
Name:
Street Address:
City, ST ZIP Code:
Phone number:
	Int. Color
	Rio Rust
	Sand Dollar
	Hardy Sage
	Jethro Rust
	Carpet
	Desert Sky
	Rocky Road
Qty	Model #	Standard Features
	29 RE
Qty	Option #	Option Packages
	6743-1	Silverback Explorer Package
	CR 99	Corian Counter Top (Forced Option)
Qty	Option #	Exterior Options
	052 B	Washer Dryer Prep (Combination Only)
	5	Penguin 2nd A/C
Qty	Option #	Furniture Options
	461	19" LCD TV w/ Tip Out Mounting Bracket In Front bedroom
	4001	Jack Knife Sofa IPO Bottom Bunks w/ Hinged Upper Bunk
	4001 A	(2) Jack Knife Sofa IPO Bottom Bunks w/ Hinged Upper Bunk
	8014 A	Hide-A Bed Sofa IPO Cube Sofa in Rear Bedroom
	867	Dinette Booth (Replacing Free Standing Dinette)
	435	King Bed
Qty	Option #	Miscellaneous Options
	2120	Carbon Monoxide Detector
	817	Thermopane Windows (Tinted)
	2043	Dirt Devil Central Vac System
	2105	Fireplace