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  Required Information To Receive Quote

Required Information To Receive Quote

1.  Rubber Torsion Axle Order/Quote Form

1. Rubber Torsion Axle Order/Quote Form

First Name*

Last Name*

Company

Address*


City*

State/Province*
Postal Code*

Country*
Day Phone*

Evening Phone

Email*

4.  Quotation Special Note:

4. Quotation Special Note:


5.  Quanity

5. Quanity


Dexter Serial Number If Replacing Existing Axle

Dexter Serial Number If Replacing Existing Axle


11.  Hub Face Dimension

11. Hub Face Dimension


13.  Outside To Outside of Bracket Dimension

13. Outside To Outside of Bracket Dimension



21.  Tire Size

21. Tire Size


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