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Download the pdf worksheet for Custom Built Wheels "Short Form".


Print a copy to use as a worksheet then enter the data here.

Custom Built Wheel Order Form
“Short Form”


Customer Name: Year:
Order Number: Make:
Date: Model:
Email:Lug Nut Thread:
    
Front Wheels Rear Wheels 
Qty: Qty:
Size: Size:
Brand: Brand:
Style: Style:
Wheel Finish: Wheel Finish:
Backspacing: Backspacing:
Bolt Circle: Bolt Circle:
Brake Modifications?: Brake Modifications?:




I understand that these special order wheels are built to my specifications, are non-returnable without exception, and that all sales are final. I understand that modifications to brakes and other components may affect fitments.



Special Order build time varies by Manufacturer. Consult sales Consultant for details
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© 2004 - 2009 Hot Rod Hank's Custom Tires, Custom Wheels, and Hot Rod Parts and Accessories
Hot Rod Hank’s is proud to offer the industry’s finest brands of custom tires, custom wheels, and hot rod parts and accessories for the antique car and hot rod enthusiast.