Customer Pricing Only

Today's Date*

Reason for inquiry*

Customer Name*

First Name Last Name

Phone*

Email*

CUSTOMER AREA/LOCATION*

Enter shipping address in message box at bottom of page if purchasing

City State ZIP Code

VEHICLE INFORMATION*

Please provide the correct thread pitch (NOT the bolt pattern)

Vehicle Year Vehicle Make Vehicle Model Vehicle thread pitch (Ex:14x1.50)

Factory / Aftermarket wheel info*

Wheel Brand (EX: Vossen) Wheel Model (EX: CV 10) Size (Ex: 22")

What type of wheels are you wanting to protect?*

AFTERMARKET
FACTORY
SPINNER/FLOATER (Submit and call for pricing)

Upload 1 clear photo of hole measurement*

Please display a ruler in the photo like this example

FREE 5th Wheel lock (Jeeps, SUV's etc.)*

No
Yes

4 Matching "dummy" caps? $80 (optional)*

Keep all lug nuts/bolts looking the same. Ship to Rimlox to be modified/cut to size. FREE shipping back to you. Ship to: Rimlox Inc. 7853 Gunn Hwy Ste. 327 Tampa, FL. 33626

Yes, I will ship my lug nut/bolts to be modified
No, I have center caps do not need "dummy" caps
No, I want the thief to see I am protected

Shipping address / Notes for Order

Agreement*

I UNDERSTAND THERE ARE NO REFUNDS. ALL PURCHASES ARE FINAL. (wrecked vehicle, bent/curbed wheel(s), stolen wheels etc.)
I understand that (If I decide to purchase Rimlox) my locks MUST be installed by any third party wheel and tire shop to receive the 100% Guarantee, FAILURE to register within 24hrs of installation will automatically VOID any and all warranties and guarantees until wheel locks are registered.
I have read the pages listed below, I fully understand and agree to the following information and policies set forth and provided by Rimlox Inc. on its website www.rimlox.com.

1. The 100% Guarantee
2. Installation
3. Registration
4. Key information
5. Filing a wheel theft claim
6. Filing a false theft claim

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