The Richardson Chest Fly Box

Box Order Form

All address fields must be filled in as well as phone number for confirmation.
We do not currently take payment on-line. This form will mail a copy of your
order, we will then call to verify that your options are feasible and to
arrange for payment.

If you would like us to send you a brochure and order form look here.

All fields marked with * are required.

Full Name: * Telephone: Email: *
Mailing Address Street1: * Street2: City: * State: * Zip: *	Shipping Address Street1: * Street2: City: * State: * Zip: *

Model	Original Style		Joe Humphreys Series		Ultra-Lite
	Standard Finish	Deluxe Finish	Standard Finish	Deluxe Finish	Standard Finish Only
1 Tray Box	145.00	180.00	135.00	170.00	65.00
2 Tray Box	170.00	205.00	150.00	195.00	80.00
3 Tray Box	180.00	215.00	160.00	205.00	95.00
4 Tray Box	190.00	225.00	170.00	215.00	N/A
5 Tray Box	200.00	235.00	180.00	225.00	N/A

Chest Fly Box Model (please choose one): Original Standard Original Deluxe Humphreys Standard Humphreys Deluxe Ultra-Lite Harvey Edition

If ordering the Deluxe Finish on the Original or Humphreys Chest Fly Box (please chose one)
NOTE: Harvey Edition only available in deluxe green & Ultra-lite only available in standard finish: Standard Deluxe Green Deluxe Black

Number of Trays (please choose one)
NOTE: Ultra-lite max 3 trays and Harvey 2 trays only:

1

2

3

4

5

Customizing Tray Options:	Original	Humphreys	Ultra-Lite
Regular Dividers (1 1/2" X 1 1/4" compartments) with closed cell foam underneath	25.00/tray	20.00/tray	N/A
Large Game Fish (LGF) Dividers	25.00/tray	20.00/tray	N/A
Making the divider assemblies completely removable	10.00/each	10.00/each	N/A
Interchangeable Foam Insert System(Ripple, Strips, of Flat foam)	28.00/pair	23.00/pair	23.00/pair
Foam Pad Glued to tray bottom or tray lid	10.00/pad	8.00/pad	8.00/pad
Felt Nymph Pads (3 per set)	5.00/set	5.00/set	5.00/set
Tippet Dispenser, 4 Umpqua Spools Included: 3X, 4X, 5X &6X (Front Tray only)	40.00	35.00	N/A
3 Compartment Leader Pouch, Not available with trays with dividers or tippet dispenser	15.00	15.00	15.00
Extra 1 1/4" Deep Tray (Max. 3@ 1-1/4" OR 2@1-1/4 + 2@3/4")	15.00/each	15.00/each	15.00/each

Starting with the tray closest to you chest:

For each tray describe what options you would like to be installed.

Example Tray #1: Removable Large Game Fish dividers. Interchangeable Foam Insert System (Gripple)(pair).

Tray #1: closest to chest: (if ordering removable foam inserts indicate quantity & style) NOTE: Tray #1 is Extra Deep.

Tray #2: (if ordering removable foam inserts indicate quantity & style)

Tray #3: (if ordering removable foam inserts indicate quantity & style)

Tray #4: (if ordering removable foam inserts indicate quantity & style)

Tray #5: (if ordering removable foam inserts indicate quantity & style)

Customizing Exterior Box Options (all models):

Box Mounted Light	$28.00
Fly Floatant Holder (specify brand)	$10.00
Magnifying Glass	$28.00
Amish Handmade Leather Harness	$85.00/Reg. - 88.00/XL	^M none Regular Extra Large
Canvas Harnesss (specify green/tan)                             (regular/extra large)	$30.00	none Green Tan none Regular Extra Large
Large Canvas Pocket Pouch	$12.00
Medium Canvas Pocket Pouch	$10.00
Extra set of Straps	$10.00
Name to be engraved on the box:
Is Box Owner Left or Right Handed (for outside linkage placement):	Right Left
Address Tag (no charge):
Comments:

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