When you complete this form, please email it to us at this address: info@lasounddesign.net

Please enter your contact information:

Name:	

Phone:	

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Please specify your pedal details here.

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Wired in order listed? Yes or No
Recommended Wiring Order? Yes or No

Please specify the following information:

CUSTOM

A/B Box? Yes or No
Mute Box? Yes or No
Loop Box? Yes or No
Power Supply? Yes or No
Custom Buffer? Yes or No

Special instructions: