ORDER FORM

NOTE: THIS FORM IS APPLICABLE ONLY FOR EXISTING CLIENTS.
TO INQUIRE ABOUT WHEEL-CHECKS OR FIND A DISTRIBUTOR, PLEASE CLICK HERE.
TO HELP US SERVE YOU BETTER, PLEASE SUPPLY THE FOLLOWING INFORMATION.
P.O. #:
Federal Tax ID: (US only)
Company:
Contact:
Bill to:
Address:
 
City:
State/Province:
Country:
Zip Code:
Telephone:
Fax:
Email:
Ship to: (if different
from billing address
Shipping Address:
 
City:
State/Province:
Country:
Zip Code:
Special Request:
   
*WHEEL-CHECKS ARE SOLD IN BAGS OF 100 PIECES.
WHEEL-CHECK ORDER
PART # INCHES MM LIST # OF BAGS (100 PIECES/BAG)
WLCH-AA: 1 1/2 38.1 bags
WLCH-A: 1 1/2 37.5 bags
WLCH-B: 1 5/16 33 bags
WLCH-C: 7/8 22 bags
WLCH-D: 1 1/16 27 bags
WLCH-E: 13/16 20.5 bags
WLCH-F: 1 1/4 31 bags
WLCH-G: 1 25 bags
WLCH-H: 1 9/16 40.5 bags
WLCH-I: 27/32 20.8 bags
WLCH-J: 1 3/4 44 bags
WLCH-K: 1 3/16 30 bags
WLCH-L: 1 9/32 32 bags
WLCH-M: 15/16 23.8 bags
WLCH-N: 1 1/8 28 bags
WLCH-O: 3/4 19 bags
WLCH-P: 1 3/8 35 bags
WHEEL-TORQUE ORDER
PART # INCHES MM LIST # OF BAGS (100 PIECES/BAG)
WLTO-AA: 1 1/2 38.1 bags
WLTO-A: 1 1/2 37.5 bags
WLTO-B: 1 5/16 33 bags
WLTO-C: 7/8 22 bags
WLTO-D: 1 1/16 27 bags
WLTO-E: 13/16 20.5 bags
WLTO-F: 1 1/4 31 bags
WLTO-G: 1 25 bags
WLTO-H: 1 9/16 40.5 bags
WLTO-I: 27/32 20.8 bags
WLTO-J: 1 3/4 44 bags
WLTO-K: 1 3/16 30 bags
WLTO-L: 1 9/32 32 bags
WLTO-M: 15/16 23.8 bags
WLTO-N: 1 1/8 28 bags
WLTO-O: 3/4 19 bags
HIGH TEMPERATURE WHEEL-CHECKS (ORANGE IN COLOUR AND CAN WITHSTAND TEMPERATURES UP TO 450 DEGREES AND ARE USED IN THE TRANSIT INDUSTRY)
PART # INCHES MM LIST # OF BAGS (100 PIECES/BAG)
WCHT-AA 1 1/2 38.1 bags
WCHT-A 1 1/2 37.5 bags
WCHT-B 1 5/16 33 bags
WCHT-F 1 1/4 31 bags
NOTE: OTHER SIZES CAN BE CUSTOM ORDERED.
NAME ON CARD
CREDIT CARD
LAST 4 DIGITS OF CREDIT CARD
EXPIRY DATE
If you don't have a card on file with us, we will email your order for confirmation. Please call or fax us the approved order with credit card information. Orders will be shipped once credit card is processed and approved.
 

DELIVERY: Please allow 1-2 weeks for delivery.
* Applicable Taxes and Shipping are extra.