Axle Order

👋 Your Information
Name*

First NameLast Name
Business Name (Optional)
E-mail*
example@example.com
Phone Number*
Billing Address (A separate shipping address can be collected later if required.

Street Address

Street Address Line 2

CityProvince / State

Zip Code
Preferred Method of Contact

📞 Phone📧 EmailEither

How urgent is your request? (Optional)

	1	2	3	4	5	6	7	8	9	10

1 is Low Priority, 10 is High Priority! ASAP!

📝 Final Comments

Anything else we should know? If not, please check the captcha and click "Submit" to send the request to our team. We will get back to you as soon as possible.
Please let us know here of any special requests or comments you may have
We can always sort out the fine details in conversation after the initial quote too.
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[Optional] How would you rate our quote form?

If you answer this question with 2/5 or less, we may inquire with you to find out why and how we can make improvements.
Once you've finalized your request, press 'Submit' below to send it in to our sales team. Our sales team will evaluate the request and send you a cleaned up version of your request as a quote, valid for 15 days. Due to pricing updates, the quote sent to you by our salespeople may be more (or less) than the pricing online simply due to time constraints and that our sales system is updated first. This form is not an order or purchase submission; and is 0 obligation. Until an Express Custom or Rival Truck salesperson contacts you and receives a down payment (or PO in some scenarios), we will not begin any construction.

You are not agreeing to any type of purchase/order by submitting this form.
Optional: Would you like to associate a PO (Purchase Order) # to this request?
If you have a PO# for this axle, please enter it above.
Approximate Budget Estimation
Please Note: This figure is automatically estimated based on what you have selected on this form, however, it may be inaccurate due to custom requests, price updates, soforth. Once you submit this form, a Rival salesperson will confirm your estimate and lock it in as a QUOTE, valid for 15 business days
Due to the size of this form and its contents, it may take up to a minute to confirm your submission after you click ✔ Submit. Please do not close or navigate away from this page until confirmation that submission has been sent.
Date

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👋 Your Information

Axle Order

📝 Final Comments