Lift Axle Request

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Comments or questions are welcome.

Vehicle (Year/Make/Model)

VIN

Lift Axle Information: Tag or Pusher Axle

------- Tag Pusher

Steerable or Non Steerable

-------------- Steerable Non-Steerable

Single Axle or Tandem Axle

Main Suspension Air Ride or Leaf Spring

----------- Air Ride Leaf Spring

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:

Company

Address

State

City

Zip

Country

Phone Number

Email:

Additional Information or Request:

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