Two Piece - Southeast Press & Wheel

Vehicle Information

Make*

Model*

Steer Or Drive*

OEM Part Number

Please specify inches or Millimeters

A. Pilot Hole Diameter*

B. Inside Bolt Circle Diameter*

C. Inside Bolt Hole Diameter*

Number of Bolt Holes*

D. Rim Width*

E. Valve Hole Needed*

F. Countersink*

(Countersink Will Be Made In Valve Half)

G. Tire Size*

Questions/Comments

** Note: Outside Bolt Circle and Hole diameters will be considered standard unless otherwise specified. Hardware is provided only upon request.

Date*

Quote or Order*

Purchase Order Number*

Qty Needed*

Tire Size*

Ship Via*

Ship To*

Name (First & Last)

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Enter Email Confirm Email

Phone*

Fax