Weldcraft Wheels Modification Form

Ship To: Weldcraft Wheels Attn: James 15091 Northville Rd. Plymouth, Mi 48170

(734) 420-2211 Fax (734) 420-2764

NAME

E-MAIL @

HOME PHONE

CELL PHONE

WORK PHONE

RETURN SHIPPING ADDRESS:

NAME

STREET ADDRESS

CITY STATE ZIP CODE

DESCRIPITION OF MODIFICATION NEEDED AND PRICE QUOTE:

*Narrow wheel

Widen to the Inside/Rear of the Wheel

*Widen to the Front/Face of the wheel

Customer Signature________________________________________

*MUST HAVE E-MAIL APPROVAL FROM JAMES FIRST.

James@WeldcraftWheels.com