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Truck Request Form Contact Information (Fields with (R) are required) First Name (R) E-mail (R) Last Name (R) Phone (W) (R) Company Phone (H) Address Cell Phone Address Fax City Intended Use Construction Long Haul Local Use On Highway On/Off Highway Off Highway State  Zip Time Line Not Urgent Soon ASAP Truck Specifications Make Any Autocar Bering Chevy Ford Freightliner GMC Hino International Isuzu Kenworth Mack Mitsubishi Peterbilt Sterling UD Volvo Western Star See Comments below Transmission Any 9 Speed 13 Speed 15 Speed 18 Speed Automatic See Comments below Model Suspension Any Airride Spring Rubber Block See Comments below Year Any 2004-05 2003-04 2002-03 2001-02 2000-01 1999-2000 1998-99 1997-98 1996-97 1995-96 1990-95 1985-90 1980-85 1975-80 See Comments below Wheels Any Aluminum Steel Spoke See Comments below Vehicle Type Tractor Dump Truck Expediter Tow Truck Utility Body Box Van Refer Body Flat Bed Stake Bed Yard Spotter Water Tank See Comments below Wheelbase Any 240 in. or more 200-240 in. 200 in. or less See Comments below Engine Make Any Caterpillar Cummins Detroit Diesel Ford GMC Mack International See Comments below Tire Size Any 22.5 in. 24.5 in. See Comments below Horsepower Any 500-600 450-500 425-450 350-425 Below 350 See Comments below Price Range $5,000-$7,500 $7,500-$10,000 $10,000-$12,500 $12,500-$15,000 $15,000-$17,500 $17,500-$20,000 $20,000-$22,500 $22,500-$25,000 $25,000-$27,500 $27,500-$30,000 $30,000-$32,500 $32,500-$35,000 $35,000-$37,500 $37,500-$40,000 $42,500-$45,000 $45,000-$47,500 $47,500-$50,000 $50,000-$55,000 $55,000-$60,000 $60,000-$65,000 $65,000-$70,000 $70,000-$75,000 $75,000-$80,000 $80,000-$85,000 $85,000-$90,000 $90,000-$95,000 $95,000-$100,000 $100,000-$105,000 $105,000-$110,000 $110,000-$115,000 $115,000-$120,000 $120,000-$125,000 $125,000-$130,000 $130,000-$135,000 $135,000-$140,000 $140,000-$150,000 $150,000 or Higher Sleeper Any None Double Bunk Flat Top Stand Up Double Bunk See Comments below How Many 1 2-3 3-5 5-10 10-20 20-30 30-50 50+ Comments:

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