Lift Axle Price Request

Vehicle:   

 Year/Make:

Model:         

VIN:             

Lift Axle Information:

Request Information and Pricing for Lift Axles:

Tag or Pusher Axle Tag Pusher   (Required Field)

Steerable or Non- Steerable   Non-steerable Steerable (Required Field)

Single Axle or Tandem Axle Single Tandem (Required Field)

Main Suspension Air Ride or Leaf Spring Air Ride Suspension Leaf Spring Suspension

Frame Width at Lift Axle Location (inches)

Frame to Ground at Lift Axle Location (inches)

For Single Axles - bottom of frame to bottom of drive shaft

Tire Size for Lift Axle (11R22.5, 8R22.5, etc):

Name:         (Required Field)

Company:  

Address:     

City:             (Required Field)

State:                   Zip:  (Required Fields)

Country:     (If outside U.S.A)

Daytime Phone Number: (Required Field)

E-mail:         (Required Field)

Additional Information or Request: