Order Form

Print Out This Order Form And Fax To :909-888-0133

Work Order
We Will Fill Out the VIN No. / Delivery date
After Reciept of order we will call with an estimated delivery date.
Awnings & Air Conditioning Prices Vary - Inquire About Price
All Prices Subject To Change

Date ......................................................................................

Customer Name ...................................................................

Work Phone .........................................................................

Home Phone ........................................................................

Model ..................................................................................

Trailer Floor Length ...........................................................

No. Of Axles ........................................................................

Brakes .................................................................................

Standard Items

Coupler Size...................................... Inside Lights...................................................
Tongue Jack....................................... Loading Lights...............................................
Side Door.............................................Porch Light......................................................
Step.......................................................Tie Down Rings .............................................
Roof Vents............................................Vinyl Floor.......................................................
Work Bench...........................................Frame Color..................................................
Wheels...................................................Ceiling Color.................................................
Tires........................................................Wall Color.....................................................

Optional Items

Wide Body.................................... Beaver Tail.....................................

Windows...................................... LH Cabinet.................................

Front Cabinet............................. RH Cabinet................................

Other Cabinets..............................Awnings..................

A/C................................................ D Rings...........................................

Fuel Tank................................... 110V Lights.................................

Water Tank............................... . Quartz Lights...............................

Spare Tire Mount.......................... LED Lights...........................

Spare Tire On Wheel.....................Battery & Box....................... ............... .

Electric Brake (2nd) Axle .............Chrome Package.................................

Electric Tongue Jack.....................Xtra Tall ...............................................

Solar Battery Charger......................................

Special Order Items.................................................................................................................
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Customer Signature.............................................