Dealer Dedicated Request Page

Requests

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Today's Date
MM slash DD slash YYYY
Please fill in all information in the form below to submit a drawing request:
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Authorized Dealer
Name, Address, etc.
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Dealership or Chromeshop name*
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RoadWorks® Dealer Number
Name
First Last
Your Location
- United States
- Canada
- Other
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Address
Street Address Address Line 2 City State ZIP Code
Address
Street Address Address Line 2 City Province Postal Code
Phone Number*
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Dealer Phone Number
Email Address*
Enter Email Confirm Email
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Dealer Email Address
Vehicle Information
Truck - Model Year
Truck Make
If "Other" please enter truck make here.
Model
Choose your desired products*
- Drop Visor
- Cab Panel
- Cowl Panel
- Sleeper Panel
- Punched Grille Insert
- Bumper
- Rear Light Bar
- Chop Tops
- Other?
If "Other?"
Visor Lighting
Hole Size
Cab Panel Lighting
Hole Size
Cowl Panel Lighting
Hole Size
Sleeper Panel Lighting
Hole Size
Rear Light Bar Lighting
Hole Size
Bumper Options*
- Blind Mount
- Standard Mount
- Box End
- Mitered End
- Radius Cut to Match Tire
- Tow Hole/s
- Blank Face
Please Choose Which Your Truck Is Equipped With*
- Factory Fenders
- Aftermarket Fenders
Describe the custom part that you would like us to produce.
If you have any images or drawings that you would like to submit, please upload here.
Only jpg, gif, png, pdf, dxf, dwg, docx, and doc files are permitted for uploads, and limit 3 at a time please.
Drop files here or

Accepted file types: jpg, gif, png, pdf, dxf, dwg, jpeg, docx, doc, Max. file size: 512 MB, Max. files: 10.
Please click "SUBMIT" send us your drawing request.
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Temporary Part Number
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Unit
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CAD Drawing File Upload Storage
Max. file size: 512 MB.
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Cost (Holes Only)
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Cost (With Options)
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Price (Holes Only)
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Price (With Options)
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Text - Drawing Form Discussion / Notes
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Discussion / Conversation with Customer
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Reason Lost
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Email - Assigned Dealer
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Costing Spreadsheet
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Dealer User Field
Comments
This field is for validation purposes and should be left unchanged.

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Password

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Dealer Dedicated Request Page

Requests

Please fill in all information in the form below to submit a drawing request:

Name, Address, etc.

Vehicle Information

800-448-8741

Email: info@roadworksmfg.com

Company

Support