G4 Order Form. Mirage Systems. Inc. P.O. Box 820 DeLand, FL (386)

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1 1 of 6 A Customer Information This is a new order Date: / / This is an update to an existing order Name Dealer/P.O. # (if applicable) Phone _ Street Address City State Postal Code Country How many jumps? How many previous rigs? Previous Container Brand? How did you hear about us? B Container Colors I submitted my colors in the online design program. C E MD P T W Cordura Embroidery Mini-Diamond ParaPak Standard ParaPak Trim Tape Webbing 1 (C) 2 (C) 3 (C) 4 (C) 5 (C/MD)_ 6 (C) 7 (C) 8 (W) 9 (C) 10 (C) 11 (P/MD) 12 A B C D E F G H V The deluxe backpad with spacer foam and lumbar support comes standard on the G4. Piping AB Piping BC Piping CD Piping DE Piping EF Piping FG Piping H Piping 5

2 2 of 6 C Container Options Quantity Size (circle your choice) Refer to miragesys.com/support/container-sizing-guide/ for our canopy compatibility chart. Standard Series M8 M7 MT MT-1/2 M6+1 MT-1 M6 M5 M5-1/2 M4 M3 M2 M1 M1Z M1Z-1/2 M0 MX MX-1/2 MX-1 Sizing I m certain I want this container size. I think this is the right container size please confirm it will fit my canopies. Please size my container for my canopies. Notes / Comments Main Canopy Manufacturer Model & Size Harness Options (mark one choice per category) 3 Rings Size Small Large Riser Webbing Type 17 (thin) Type 8 (wide, >225 lbs) Riser Length (std) Riser Loops Dive Loops (std) + Small Swoop Loops (Soft) + Small Swoop Loops (Medium) + Small Swoop Loops (XFirm) + Large Swoop Loops (Soft) Riser Color Match Harness (std) + Other Toggle Color (std) + Other Low Drag No + Yes Chest Strap Std + Extra inches Leg Pad Style Straight + Contoured (available only on Unisyn) Reserve Deployment Options (mark one choice per category) RSL No RSL + Std RSL + Trap System MARD Reserve Ripcord + Soft (has metal interior) Color (if soft) Metal Micro D Cutaway Color (std) + Other Metal Mini D (std) Main Deployment Options (mark one choice per category) Metal Large D Short Series M2S MXS M2S-1/2 MZS M0S Reserve Canopy Manufacturer Model & Size Main Bag Std + Split + Semi-Stowless Birdman Mod No + Yes Secondary Closing Loop No + Yes W Series W-Std W-1 W-1/2 AAD Manufacturer Aluminum Hook Knife No + Yes Main Pilot Chute (mark one choice per category) Style Collapsible (std) Non-collapsible Model Color (std) Harness Type (select one) Stainless steel hardware is included on all Mirage harnesses. Fabric & Diameter F1-11 (std) (std) 32 + ZP (std) + Unisyn Hip & Chest Rings Harness Bridle Length 7 (std) Unisyn Hip Rings Harness + Low Hip Rings Harness w/ Split 2-Piece Leg Pads Standard (No Articulation) Harness Handle Type Plastic Pipe + Hacky FreeFly Handle Color (Cordura) OR Hacky 1-2 Colors (Leather) + FreeFly Handle + FreeFly Hacky

3 2 3 of 5 6 D Embroidery NOTE: Left & right is as you re wearing the rig. You may place as many standard Mirage logos as you wish, free of charge. Non standard logos have a + to indicate an additional charge. Center Flap Embroidery (choose one for each stripe) Phantoms cannot be put on mini-diamond except on the D-stripe. The D-stripe is the only stripe that can have both. If you want phantoms and min-diamond on your centerflap remember to put them on alternating stripes. Stripe A: None + Phantoms (direction up / down) Yoke Embroidery (required) Mirage Mirage & Alien Outline Mirage Fill Color: (E) (E) (E) Cutaway Handle Embroidery (choose one) None Alien (direction up / down) Alien Outline (wrapped) Mirage Mirage & Alien Outline G4 G4 & Alien Outline Custom Text (max 10 characters): (E) Custom Text Color: (E) (E) (E) (E) G4 Fill Color: (E) G4 Outline Color: (E) Note / Comment Soft Reserve Ripcord Embroidery (choose one) None Alien (direction up / down) Alien Outline (wrapped) Mirage Mirage & Alien Outline G4 G4 & Alien Outline Custom Text (max 10 characters): (E) Custom Text Color: (E) (E) (E) (E) G4 Fill Color: (E) G4 Outline Color: (E) Note / Comment Stripe B: None + Phantoms (direction up / down) Stripe C: None + Phantoms (direction up / down) Stripe D (center): None Alien (direction up / down) Alien & G4 G4 G4 + Phantoms Phantoms ( up / down) + Custom Image G4 Fill Color: G4 Outline Color: (E) (E) (E) (E) (E) Stripe E: None + Phantoms (direction up / down) Stripe F: None + Phantoms (direction up / down) Stripe G: None + Phantoms (direction up / down) Flap 3 Outside: None + Phantoms (direction up / down) Note / Comment Left Sidewall Embroidery (choose one) None Mirage Mirage & Small Alien Small Alien & Mirage Mirage & G4 Mirage + Large Ghost Outline + Large Alien (direction up / down) + Jeb Falling Aliens + Custom Image (E) For Falling Aliens: This will be the fill for the top 3 of the set. It s usually best to choose a color that blends with the sidewall. (E) For Falling Aliens: This will be the outline for the top 3 of the set and the fill for the bottom Alien. It s usually best to choose a color that will stand out against the sidewall. (E) For Falling Aliens: The accents on falling aliens must be the same as the fill color Mirage Fill Color: (E) (E) Phantoms No + Yes Phantom Color: (E) Ghost Outline Color: Ghost Accents Color: (E) (E)

4 2 4 of 5 6 Right Sidewall Embroidery (choose one) None Mirage Mirage & Small Alien Small Alien & Mirage Mirage & G4 Mirage + Large Ghost Outline + Large Alien (direction up / down) + Jeb Falling Aliens + Custom Image (E) For Falling Aliens: This will be the fill for the top 3 of the set. It s usually best to choose a color that blends with the sidewall. (E) For Falling Aliens: This will be the outline for the top 3 of the set and the fill for the bottom Alien. It s usually best to choose a color that will stand out against the sidewall. (E) For Falling Aliens: The accents on falling aliens must be the same as the fill color Mirage Fill Color: Ghost Outline Color: Ghost Accents Color: Left Leg Pad Embroidery (choose one) (E) (E) (E) (E) None Mirage Mirage & Alien Alien & Mirage Custom Text (max 10 characters): Custom Text Color: (E)_ (E) (E) (E) (E) Left Ring Cover Embroidery (choose one) None Alien (direction up / down) Alien & Mirage Alien & G4 Mirage Mirage + Phantoms G4 G4 + Phantoms + Phantoms Only Custom Text (max 10 characters): (E) Custom Text Color: (E) (E) (E) (E) Mirage / G4 Fill Color: (E) Mirage / G4 Outline Color: (E) Right Ring Cover Embroidery (choose one) None Alien (direction up / down) Alien & Mirage Alien & G4 Mirage Mirage + Phantoms G4 G4 + Phantoms + Phantoms Only Custom Text (max 10 characters): (E) Custom Text Color: (E) (E) (E) (E) Mirage / G4 Fill Color: (E) Mirage / G4 Outline Color: (E) Mirage G4 Fill Color: (E) (E) Additional Embroidery Notes Right Leg Pad Embroidery (choose one) None Mirage Mirage & Alien Alien & Mirage Custom Text (max 10 characters): (E)_ Custom Text Color: (E) (E) Office Use Only Final Container Size Mirage G4 Fill Color: (E) (E) (E) (E) Final Harness Size Date O/F Complete

5 25 of 6 E NOTE: It is very difficult to measure yourself accurately, so someone will need to assist. Use a soft measuring tape. If there is an existing Mirage that fits you well or that you would like us to use for reference, list its serial # or harness size here. Match serial # I submitted my measurements in the online calculation form. Gender Male Female Height in / cm = MLW Weight Body Ratio To Legs lbs / kg Body is a bit short Body is medium Body is a bit long Torso = MLW Long Girth = MLW I like my fit a little snug medium a little loose Leg Pads = LP Waist = STAB Shoulders Normal Thick (lifts weights) Chest / Cup (females) = EXT Throat to Belly Button = STAG Comments Harness Measurements For Office Use (unless you know what size you need) MLW (main lift web) Leg Pads Stabilizer (waist) Extension (yoke) Stagger (legs) None None DD STD Adjustable Adjustable Torso Measure both left and right as a double check. Measure from the BOTTOM of the hole at the base of your throat, diagonally over your chest, to the very TOP of your hip bone AT YOUR SIDE. The top of the hip bone is approximately the same height off the ground as your belly button. Common mistakes are measuring too low on the hip (too long), or not enough to the outside (too short). Long Girth Measure from the bottom of the hole at the base of your throat (same as torso measurement), down through the crotch and up your back to the base of the collar (protruding spine bone on the back of the neck) Tape should be snug but not painful. Gentlemen, move things off to the side. Leg Pads Measure both left and right as a double check. Take EVERYTHING OUT OF YOUR POCKETS. Measure around the leg, as the leg strap travels, up to the SIDE of your hip bone. Be sure to pull the tape SNUG. The measurement should be in the range of for most people. Some people like their pads to overlap, some like the ends to just touch, and others like a few inches of gap. All of these are safe as long as you are sitting on the pad and your strap feeds through with at least 5-6 inches of tail. Waist This part of the harness cannot be adjusted, so you should look at this measurement first when looking at stock rigs. Measure around your waist at your belly button. Do not pull your stomach in. Be certain the tape is level. TIP: If you would like your rig to fit tighter against your back we recommend using our small sit fly belly band. It attaches to your hip rings via slinks and can be removed when not in use. We also offer a larger belly band for swooping. Chest Measure at the nipples Be sure to measure all the way around your back and that the tape is level across your back. Throat To Belly Button Measure from the bottom of the hole at the base of your throat (same as torso measurement), straight down to the center of the belly button. Tip: The Mirage harness is designed to have the leg straps tightened first. Bend over as if touching your toes, slide the rig up your back and then tighten your legstraps until they are high and tight. You may need to rotate them slightly forward or back until they sit comfortably.

6 26 of 6 Color List NOTE: Colors may vary across the different material types. Cordura (C) MiniDiamond ParaPak (MD) Standard ParaPak (P) Trim Tape (T) Webbing (W) Embroidery (E) Hacky Leather (MD) (P) (MD) (P) berry Burgundy Magenta Purple (MD) (MD) berry Magenta T17 Risers Only berry berry Burgundy Lavender Magenta Pink berry Lavender Fuscia Forest Green Jade Kelly Green Green (MD) (P) Emerald Green Jade Hunter Green Jade Kelly Green Teal (denim) Turquoise Turquoise Turquoise Turquoise Denim Blue Light Blue Blue (MD) Light Blue Light Blue Brown Coyote (Khaki) Tan Desert Camo Digital Camo + Kryptek Camo Marsh Camo Woodland Camo Tan Tan Beige Brown Tan Beige Brown Tan