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Hitch Type (*):

 

5th Wheel

 

       Do you currently have a 5th Wheel hitch?

 

Gooseneck

 

Receiver

Estimated Tongue or Pin Weight

 

What is the maximum GTW (gross trailer weight) of the trailer?

 

up to 10,000

 

10,000 to 16,000

 

16,000 to 18,000

 

18,000 to 20,000

 

20,000 to 25,000

 

Over 25,000

 

What type of vehicle do tow or plan to tow with? (Click all that apply)

 

4 Wheel Drive

 

2 Wheel Drive

 

Long Bed

 

Short Bed

 

1/2 ton or 1500

 

3/4 ton or 2500

 

1 ton or 3500

 

450

 

550

 

650

 

Freightliner, Volvo, or other Heavy Duty Trucks

Other

 

 

 

 

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If you do not like forms, please call us with the information below: 866-448-2475 or 321-939-2132

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866-448-2475

321-939-2132

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AIR SAFE HITCHES

AirSafe Hitch Sales

Sales (321) 939-2132, 1041 Old Blush Road, Suite 200, Celebration, FL 34747

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