Pillory Order Form – Discipline Designs

Full Name*

First NameLast Name

Email Address*

example@example.com

Phone Number

Please enter a valid phone number.

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Product Type

Pillory

Stocks - Check all that apply*

Primary upright - head and wrist holesAnkle Stocks - 4 holes to determine stanceExtra stocks - mounted on bottom of main stock, wrist and ankle holes

Material*

PineOakOther

If Other please specify

Adjustment Type*

Metal Linear Rail Slide with slide blocks, for complete freedom of adjustmentInset wood rails, with per-determined holes for height adjustmentOther

If Other please specify

Finish type - color - outside seal*

Natural color - polyurethaneBlackened - black with grain - polyurethaneBurned - Black and golden - polyurethaneStained - Customer Choice - polyurethaneOther

Stained color preference

If Other please specify

Custom desires.

*eyelets, anal hook eyelet on top, specific padding, ect*

Custom Order Form

Buyer's Information

Product Details

Inquire online

+1 (918) 884-6633

disciplinedesigns@gmail.com