CUSTOM AXLE ORDER FORM [BACK] [HOME PAGE]
FOR PRICING ON CUSTOM MADE AXLES COMPLETE THIS FORM
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Driver side Dimensions: C K
Passenger Side Dimensions: C K A
Bolt Circle Select one4" B.C.4 1/2" B.C.4 3/4" B.C.5" B.C.5 1/2" B.C. & Stud Type
Screw In Press In Size or Part #
If using Disc brakes, list axle flange diameter needed J B H Spline Count: (If spool list Manufacture)
D Axle flange to axle flange width E Housing flange to housing flange F Drive side housing flange to pinion center G Passenger side housing flange to pinion center Type of Housing End: (9" Ford, 12 Bolt Chevy etc.) You must choose one of the housing ends above.
BILLING ADDRESS SHIPPING ADDRESS (if defferent than billing address)
NAME NAME ADDRESS ADDRESS CITY CITY STATE ZIP STATE ZIP PHONE NO. PHONE NO. FAX NO. EMAIL ADDRESS:
A Phone Number and Email Address is required to confrim your order for payment. Most orders are shipped within two days after orders are confrimed.
PLEASE INCLUDE ANY QUESTIONS OR DETAILES
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