PLEASE COMPLETE FORM BELOW
CUSTOMER INFORMATION
SALES PERSON
ORDER No.
DATE
-
Day
-
Month
Year
2 digit day, 2 digit month, 4 digit year
COMPANY
*
CONTACT NAME
*
HOW WOULD YOU LIKE TO BE CONTACTED?
PHONE
*
-
Area Code
Phone Number
EMAIL
*
example@example.com
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MACHINE DETAILS
MACHINE MAKE
*
MACHINE MODEL
*
HITCH REQUIREMENTS
CHOOSE PIN CONFIGURATION
*
CHOOSE PIN STYLE
*
CHOOSE HITCH TYPE
*
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HITCH SPECIFICS
ATTACHMENT PART NUMBER
LINKAGE BLOCK
STANDARD
CUSTOM
MEASUREMENTS OF YOUR MACHINE'S ATTACHMENT
A - DISTANCE BETWEEN PIN CENTRES
*
B - BACK PIN DIAMETER
*
C - FRONT PIN DIAMETER
*
D - DISTANCE BETWEEN BACK EARS
*
E - DISTANCE BETWEEN FRONT EARS
*
SINGLE PIN HITCH REFERENCE DIAGRAM
DOUBLE PIN HITCH REFERENCE DIAGRAM
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