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Custom Custom <strong>Wheel</strong> Whee Program<br />
CUSTOM WHEEL ORDER FORM<br />
Tire Type<br />
p Pneumatic<br />
p Semi-Pneumatic<br />
p Polyurethane Flat Free<br />
p Foam Fill<br />
p Other<br />
<strong>Wheel</strong> Type<br />
p One piece Drop Center w/ integral hub p Drive <strong>Wheel</strong>: Pulley p Drive <strong>Wheel</strong>: Pin Drive<br />
p One piece Drop Center w/ lug holes p Drive <strong>Wheel</strong>: Sprocket p Drive <strong>Wheel</strong>: Slot<br />
p Two Piece, integral hub p Drive <strong>Wheel</strong>: Keyway p Drive <strong>Wheel</strong>: Hex<br />
p Three piece w/ demountable hub p Drive <strong>Wheel</strong>: Lug Holes p Other<br />
Hub Offset or Centered<br />
p Offset<br />
p Centered<br />
Hub length____________________________________________________________________________________<br />
Bore size (inches)______________________________________________________________________________<br />
Bearing type<br />
p Industrial Ball Bearing<br />
p Precision flanged ball bearing<br />
p Precision sealed ball bearing<br />
p Roller bearing<br />
p Tapered cup and cone bearing<br />
p Bushing<br />
p None<br />
<strong>Wheel</strong> Color___________________________________________________________________________________<br />
Tire size______________________________________________________________________________________<br />
Tire ply or load capacity needed___________________________________________________________________<br />
Tire tread style________________________________________________________________________________<br />
Other requirements not listed_____________________________________________________________________<br />
___________________________________________________________________<br />
___________________________________________________________________<br />
___________________________________________________________________<br />
___________________________________________________________________<br />
___________________________________________________________________<br />
Application____________________________________________________________________________________<br />
Estimated annual usage_________________________________________________________________________<br />
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