| Custom Order Speciifcations
| Required Information
* Weld-On _____
* Bolt-On ______
Make of Trailer: _____________________
Model of trailer: _____________________
Serial Number: ______________________
Year Manufactured: __________________
Type of Fifth Wheel: __________________
| Coupler Measurements
For a custom size upper-coupler, use the drawing above to fill in the blank dimensions. NOTE: ALL DIMENSIONS MUST BE EXACT.
To insure that the plate issquare, please measure diagonally from bot hole center to bolt hole center in both directions. Measurements should be of equal length, if not please advise us.
Any Special Instructions?
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