Name:
E-mail:
Phone:
Make:
Model:
Drive Tires (Front Tires):
Size:
Type:	Solid Pneumatic Tube Pneumatic
Tube:	Yes No
Steer Tires (Back Tires):
Size:
Type:	Solid Pneumatic Tube Pneumatic
Tube:	Yes No
Other Comments:
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Bill’s Lift Service, Inc. ● 1048 W. 9th St. Upland, CA 91786 ● Phone: 909.920.9339