ORDER / QUOTE FORM   


N/A OR CHECK "NONE" FOR ITEMS NOT WANTED

1.
MIL.  SPECS:
APPLICABLE

COMMERCIAL

2.
ROAD SURFACE: 
3.
TOWING SPEED: M.P.H. MAX.
4.
WHEEL BASE:  
5. TURNING CRAMPING ANGLE:
40 DEGREES

SPECIAL: 

6. DISTANCE FROM FRONT AXLE TO          
FRONT OF  FRAME INCHES
7.
FRAME:

OVER TIRES      

BETWEEN TIRES
8.
DRAWBAR LATCH: YES    NO
9.
STEERING AXLE      CAPACITY: LBS
10.
REAR AXLE CAPACITY: LBS
11.
TIRE SIZE: 
PLY
12.
TRACK:   INCHES
13.
FRAME WIDTH: OUTSIDE DIM.
14.
OVERALL WIDTH: OUTSIDE TIRES
15.
TONGUE LENGTH:
16.
SPRING CENTERS: FRONT:
REAR:
17.
AXLE SIZE TYPE: FRONT:
REAR:
18.
SPRING: FRONT:
  REAR:
MOUNTING: OVER AXLE
NONE    UNDER AXLE
19.
SPRING FITTINGS: FRONT:
NONE  REAR:
20.
WHEELS:  NONE
21.
PARKING BRAKES:  FRONT:
REAR:
22.
SERVICE BRAKES:  FRONT:
REAR:
23.
BRAKE DRUMS: FRONT:
REAR:
24.
HUBS: FRONT:
REAR:
25.
PARKING BRAKE LINKAGE:   NONE     
A DIM: B DIM: C DIM:
D DIM: E DIM:
( See Catalog Brake Linkage Section )
26.
SERVICE BRAKE ACTUATING  KIT:
27.
HYDRAULIC LINE & FITTING  KIT:
28.
DRAWBAR

STANDARD 48"

LENGTH: SPECIAL:
29. PAINT:
 PRIME PER MIL-P-8585 A ONLY
COMMERCIAL PRIME ONLY

SPECIAL FEATURES & ACCESSORIES:

RUNNING GEAR WILL BE USED ON:

(SPECIFY TYPE OF EQUIPMENT)

WE EXPECT TO USE      QUANTITIES OF THESE UNITS:

DELIVERIES AS FOLLOWS:

COMPANY: COUNTRY:
NAME:  ZIP:
ADDRESS: PHONE:
CITY: FAX:
STATE: EMAIL: