Weldcraft Wheels Modification Form

ShipTo: Weldcraft Wheels Attn: James 13111 Newburgh Rd. Livonia, Mi 48150

(734) 779-1303 Fax (734) 779-1345

Name E-Mail @

Phone # Alt. Phone #

*Suppliers name *Drop Shipping Only

Return Shipping Address:

Contact Name

Street Address

City State Zip Code

Description of Modification:

Please specify how much (in inches) you want added or removed

Widen to the Inside/Rear of the Wheel

* Due to different styles of wheels not all wheels can be widened and narrowed to the face. Please contact James for approval.

*Widen to the Front/Face of the Wheel

*Narrow Wheels

PRICE QUOTED

Customer Signature_________________________________________________Date____________________________

Print