(1) Requests

Make a Request

This field is hidden when viewing the form
Today's Date
MM slash DD slash YYYY
This field is hidden when viewing the form
Quote Number
Please fill in all information in the form below to submit a drawing request:
Are you an authorized RoadWorks® Dealer?*
- Yes
- No
NOTE:
If "No" you are very welcome to submit a drawing request. RoadWorks® Manufacturing will process your request in the order it is received and will then put you in touch with the RoadWorks® Dealer assigned to process your completed Quote, or the RoadWorks® Dealer of your choice if and when the drawing request is approved by our engineers.

If you have a prefered RoadWorks® Dealer or Chrome Shop you may enter that below.
Do you have a preferred Chrome Shop / Dealer?
Who is your preferred Chrome Shop / Dealer?
This field is hidden when viewing the form
Assigned Dealer
Name, Address, etc.
Dealership or Chromeshop name*
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*
Email Address*
Reference / PO#
Vehicle Information
Truck - Model Year
Truck Make
If "Other" please enter truck make here.
Model
Choose your desired product*
- 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.
This field is hidden when viewing the form
Temporary Part Number
Unit
This field is hidden when viewing the form
CAD Drawing File Upload Storage
Max. file size: 512 MB.
This field is hidden when viewing the form
Cost (Holes Only)
This field is hidden when viewing the form
Cost (With Options)
This field is hidden when viewing the form
Price (Holes Only)
This field is hidden when viewing the form
Price (With Options)
This field is hidden when viewing the form
Text - Drawing Form Discussion / Notes
This field is hidden when viewing the form
Discussion / Conversation with Customer
This field is hidden when viewing the form
Reason Lost
This field is hidden when viewing the form
Email - Assigned Dealer
This field is hidden when viewing the form
Costing Spreadsheet
This field is hidden when viewing the form
Dealer User Field
Phone
This field is for validation purposes and should be left unchanged.

(1) Requests

Make a Request

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

Username
Password

	Remember Me Reset Password