Body Chart
Name: .............................................................
Male/Female: ................... Age: ......................
Address: .........................................................
Telephone: ......................................................
E-mail: ............................................................
Body Measurments:
1) Inside Leg
crutch to floor: ............................................
2) Torso: .........................................................
3) Arm: ...........................................................
4) Femur: ........................................................
5) Fore-Arm: ..................................................
6) Shoulder: ....................................................
7) Shoe Size: ...................................................
8) Height: ........................................................
9) Weight: .......................................................
Notes/Questions:
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WORKS AND SHOWROOM AT:
89 GLOUCESTER ROAD, CROYDON, SURREY CR0 2DN
Telephone: 020-8684 3370 - Fax: 020-8665 9763
www.robertscycles.com
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