Fishing Team Order Form Name* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Phone*Email* Kayak OrderPlease fill in your kayak order here. Some team kayaks are marked "BLEM". Kayak Model* Color Preference* Type in your preference in standard colors or "No Preference". Selecting a color will include a $50 charge. Also note that you may wait a bit longer for a selected color vs No Preference as the boat may not be immediately available.Kayak Model Color Preference Type in your preference in standard colors or "No Preference". Selecting a color will include a $50 charge. Also note that you may wait a bit longer for a selected color vs No Preference as the boat may not be immediately available.Kayak Model Color Preference Type in your preference in standard colors or "No Preference". Selecting a color will include a $50 charge. Also note that you may wait a bit longer for a selected color vs No Preference as the boat may not be immediately available.Kayak Model Color Preference Type in your preference in standard colors or "No Preference". Selecting a color will include a $50 charge. Also note that you may wait a bit longer for a selected color vs No Preference as the boat may not be immediately available.AccessoriesThis Fishing Team Kayak Order Form is also to be used for all accessory and soft goods orders. For the most current list of available accessories and soft goods, please visit https://store.jacksonkayak.com/. Team members will need to provide a description as provided of each item, along with the corresponding SKUs on the site. Please note, even if not ordering a kayak, team members will still order accessories and soft goods using this form.Accessories and Soft Goods (if applicable)Shipping or Pick up - please select one of the following:* Team Member picking up boat at factory Dealer picking up at factory with Dealer Order (confirm with Dealer) Shipped to Dealer with Dealer Order (confirm with dealer) Shipped to Dealer Independent of Dealer Order (confirm with dealer) Shipped to Home IMPORTANT INFORMATION: If shipping TO a dealer or having a dealer ship WITH their order, Team Members MUST ensure a dealer has agreed to have a kayak shipped to their location and to hold that kayak briefly until the Team Member can pick it up. Additionally, if a team member wishes to ship with a dealer, team members are advised to work with dealers in November and December each year. This timeline is before each season begins and will allow a team member to coordinate their individual kayak order with that dealer's spring order. Once team members establish that timeline, they are advised to order their kayaks 6 weeks prior to the dealer's shipment date. Jackson Kayak and dealers will not hold orders for a team member's kayak to be built. To reiterate, if shipping TO a dealer or having a dealer ship WITH their order, Team Members MUST ensure a dealer has agreed to have a kayak shipped to their location and to hold that kayak briefly until the Team Member can pick it up. This will require early and regular communication by the team member as indicated above. If Team Members have kayaks shipped to home, shipping costs accrued will be above and beyond the posted prices on the "Shipping and Taxes" document. Additionally, any Flex Drive model kayaks will apply significantly more cost (2-3x normal cost) for Team Members to ship to dealers, with dealer orders, or ship home. SHIPPING RATES Home Delivery Option Fishing/Rec Zone 1 - $336 Zone 2 - $342 Zone 3 - $369 BSBs Zone 1 - $530 Zone 2 - $535 Zone 3 - $599 Dealer Pickup Option Fishing/Rec Zone 1 - $161 Zone 2 - $167 Zone 3 - $194 BSBs Zone 1 - $355 Zone 2 - $360 Zone 3 - $449 Factory Pickup Option Fishing/Rec All Zones - $8 BSBs All Zones - $10 Dealer you will be working with on this order (if applicable) JK Bucks and Special InstructionsPlease indicate if you have JK Bucks and would like them applied to this order. Also, please note if there are any other special instructions.Billing InformationIf you are not comfortable sending this information via secure data transfer, please call your card information into Customer Service asap. Your order will not be processed until billing is complete. ALL ORDERS ARE FINAL AND CANNOT BE MODIFIED. We cannot add items, change colors or rearrange shipping once this form has been completed. Name on the Card Card Number Billing Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Expiration Date (MM/YY) CVV Credit Card Info and Next StepsThank you for your order. PAYING BY CREDIT CARD ON THIS FORM If you have chosen to put your credit card information in this form, you will receive an invoice/order confirmation. It may take up to 4-5 business days to arrive. Please review Once you receive your invoice via email, call Customer Service at 931.738.2800 ext. 1 with any errors you see in the confirmation. YOU MUST REPLY TO THIS EMAIL CONFIRMING THAT ALL IS GOOD BEFORE THIS ORDER IS PROCESSED!. Once you have OKed the order, it will be entered and your card will be run. NO CHANGES CAN BE MADE ONCE YOU SEND IN THIS ORDER. That includes adding product, changing colors or delivery options. PHONING IN YOUR CREDIT CARD INFO. If you choose to NOT add your credit card info on this form, the order will be sent to Customer Service for processing. You will then receive an Invoice/order confirmation. It may take up to 4-5 business days to arrive. Please review once you receive your invoice via email, call Customer Service at 931.738.2800 ext. 1 with your credit card information. Your order will not be processed until you do so. However, please wait until receiving an email invoice from Customer Service before calling in. This may take several days to process. Also, please do not call-in to inquire about your boat order. You will be notified via email a second time after order confirmation when it is ready for shipping. If you have any questions moving forward, please email team@jacksonkayak.com. Thanks again!Captcha Δ Posts Order JK Bucks Shows Media
