TRUCK--FACTORY / OEM WHEELS INQUIRY FORM
Any and all instant discounts expire within 48hrs after receiving pricing and discount.
Time
Hour Minutes
AM
PM
AM/PM Option
Enter valid promo code if applicable (will be verified)
Enter: Promo code, Law enforcement, 1st Responder, Teacher, Military active / veterans (All instant discounts are valid for 48hrs from time of receiving pricing and will automatically expire after the 48hr time frame. Any and all discounts offered will be verified prior to shipping order(s). NO ECXEPTIONS
Reason for inquiry
*
Please Select
Someone tried to steal my wheels
Neighborhood experiencing wheel thefts
My wheels were stolen
Better overall security
The Rimlox LIFETIME 100% Guarantee and warranty
Dealer / Dealership
Person submitting form
*
Please Select
Potential new customer
Returning customer
Wheel and tire shop (submitting on behalf of my customer
Dealership
I would like to (purchase/ receive pricing)
*
Please Select
Purchase: (Please submit this form and click purchase link on the THANK YOU page)
Pricing: (Please email pricing only)
Pricing: (Please call, I have additional questions)
FIRST NAME (NO INITIALS. INQUIRY WILL BE AUTOMATICALLY DELETED)
*
LAST NAME (NO INITIALS. INQUIRY WILL BE AUTOMATICALLY DELETED)
*
Phone Number (must be valid)
*
Do not provide a fake or false phone # i.e. 343-555-1212 etc. (your inquiry will be deleted and purged)
E-MAIL
*
Confirmation Email
example@example.com
Location
*
Street Address
Apt / Unit #
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
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Connecticut
Delaware
District of Columbia
Florida
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Louisiana
Maine
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New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Type of wheels being protected
Please Select
Factory / OEM
Vehicle Year
*
Please Select
2026
2025
2024
2023
2022
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2019
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Vehicle Make
*
Ex: Camry, Accord, Silverado
Vehicle Model
*
Ex: VF-05
Can you see your lug nuts / bolts?(determines if dummy caps are required or not)
*
Please Select
Yes, they are visible
No, they are covered by a center cap
NOTE:Dummy caps are REQUIRED only if lug nuts are visible. Dummy caps are NOT required for center caps.
Package Deal: Please provide pricing for additional vehicles (Family/friends/co-workers etc.)
Please Select
No additional vehicle(s) at this time
1 additional vehicle (2 vehicles total)
2 additional vehicles (3 vehicles total)
3 additional vehicles (4 vehicles total)
2nd Vehicle Year
Please Select
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
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1961
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2nd Vehicle Make
Ex: Camry, Accord, Silverado
2nd Vehicle Model
Ex: VF-05
Can you see your lug nuts / bolts? (determines if dummy caps are required or not)
Please Select
Yes, they are visible
No, they are covered by a center cap
NOTE:Dummy caps are REQUIRED only if lug nuts are visible. Dummy caps are NOT required for center caps.
3rd Vehicle Year
Please Select
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
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2006
2005
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1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
3rd Vehicle Make
Ex: Camry, Accord, Silverado
3rd Vehicle Model
Ex: VF-05
Can you see your lug nuts / bolts? (determines if dummy caps are required or not)
Please Select
Yes, they are visible
No, they are covered by a center cap
NOTE:Dummy caps are REQUIRED only if lug nuts are visible. Dummy caps are NOT required for center caps.
4th Vehicle Year
Please Select
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
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1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
4th Vehicle Make
Ex: Camry, Accord, Silverado
4th Vehicle Model
Ex: VF-05
Can you see your lug nuts / bolts? (determines if dummy caps are required or not)
Please Select
Yes, they are visible
No, they are covered by a center cap
NOTE:Dummy caps are REQUIRED only if lug nuts are visible. Dummy caps are NOT required for center caps.
Message/ Notes for order
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*
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