Order Form
Dealer Name
Dealer Contact (Name/Phone Number)
Customer Name
Delivery Company or FedEx Terminal
Ship Address
City
State
Zip Code
Phone Number
Year/ Make/Model
Bed
Short
Long
Bed Style
Stepside
Fleetside
Door Style
2 Door
2 Door w/ Extend Cab
Double Doors (2 Doors w/2 opposite)
Crew Cab (4 Full Doors)
Bed accessories
Liner (wraps siderails/taigate)
Caps (siderails &/or tailgate)
Tailgate Handle
Standard Outside Handle
Relocated Inside Handle
Color
Black
White
Painting the cover?
Yes
No
Options with the cover?
Quick Release Hinges
Single Lock
Dual Locks
Carpet
Electronic Tailgate Lock (single)
Electronic Tailgate Lock (dual)
Measurements (if available)