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Phone: (360) 816-0211 · (800) 999-CHEV (2438) ·
Complete Bed & Bed Parts Order Form
Truck Info
Year: 19________________ •
o
1/2 or
o
3/4 Ton
Qty:
Pcs./Sets
Description
Unit Price
Total
Complete bed (1/2T) unassembled
Complete bed (3/4T) unassembled
Complete bed (1/2T) assembled
Complete bed (3/4T) unassembled
Choices:
Stake pockets on bedside top flange:
• with open stake pockets
• with closed stake pockets
Tailgate:
• with script
• without script
Upgrades:
Welded stake pockets and corner strips to side panels
(1/2T) upgrade for unassembled bed kits
Welded stake pockets and corner strips to side panels
(T) upgrade for unassembled bed kits
Tailgate chains—upgrade to stainless
Bed strips—unpolished stainless steel 1/2T
Bed strips—unpolished stainless steel 3/4T
Bed strips—aluminum with hidden fastener 1/2T
(upgrade for unassembled bed kit 1941–55 only)
Bed strips—aluminum with hidden fastener 3/4T
(upgrade for unassembled bed kit 1941–55 only)
Holes prepunched in bed and corner strips 1/2T
(upgrade for unassembled bed kits)
Holes prepunched in bed and corner strips 3/4T
(upgrade for unassembled bed kits)
Bed to frame hold-down bolt kit
Special Handling/Crate Fee/Skid
TOTAL
Ship to:
Name:_____________________________________________________________________________________________
Address:_ __________________________________________________________________________________________
City:_____________________________________ State:_ ______________________ Zip:________________________
Day Phone:_________________________________________________________________________________________
Evening Phone:_ ____________________________________________________________________________________
Email:_ ____________________________________________________________________________________________
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