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2345 Camino Vida Roble Carlsbad, CA 92011

Subject: *

E-mail Address: *

Name *

Preferred Method of Contact

Phone
Email

Phone Number

Shipping Zip Code

Year of Vehicle Manufacture

Make

Model

Location of Needed Supports

Qty. on Vehicle

Size: Length, Fully Extended (A) See Image Below)

Size: Length Retracted Fully (B) See Image Below

Pressure Listed on old Unit Ending with the Letter N (300N, ect.)/ Or Desired Pressure

LBS or N

Type of End, Shaft Side

Ball Socket
Eyelet

Type of End, Body Side

Ball Socket
Eyelet

If Possible please indicate any numbers or markings on the original support.

If bracket is attached please describe, or attach photo.

Additional Comments

Attach an Image to assist with your request for assistance.

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