Customer Name.......___________________________________________
Customer Address....___________________________________________
Contact.............___________________________________________
Telephone Number....___________________________________________
Fax Number..........___________________________________________
Quantity............_____________
Order or Quotation.._____________
Axle Capacity......._____________
Axle Style.........._____________ (Straight, Drop, or Extended Drop)
Tube Style.........._____________ (Round, Square, or Rectangular)
Spindle Type........_____________ (BT, UHI, or 13HRM)
Brake Flange........_____________ (Yes or No)
Tube Type..........._____________ (Standard or Heavy Duty)
Hub Face............_____________
Spring Seats........_____________ (Loose, Welded, or Drilled)
Spring Centers......_____________
Spring Seats........_____________ (Overslung or Underslung)
Camber.............._____________ (Yes or No)
Axle Type..........._____________ (Beam Only, Idler, or Brake)
Painted Black......._____________ (Yes or No)
Sure Lube..........._____________ (Yes or No)
Bolt Pattern........_____________ (440, 545, 550, 555, 655(H), 865)
Mounting Style......_____________ (Drilled and Tapped or Studded)
Brake Type.........._____________ (Hydraulic, Hydraulic Free Backing, Or Electric)
Springs Mounted....._____________ (Yes or No)
Spring Type........._____________ (Double Eye or Slipper)
Spring Capacity....._____________
Tire Size..........._____________
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