Blizzard Snowplow 800HD Dokumentacja Pobierz pdf (Strona 45)

CUSTOMER NAME:

DEALER:

CUSTOMER ADDRESS:

STATE: ZIP:

CUSTOMER TELEPHONE: ( )

VIN:

MAKE: FORD CHEV GMC DODGE TOYOTA OTHER:

MODEL:

(Ex. Silverado K2500 HD Pickup)

YEAR:

DATE OF MANUFACTURE:

DRIVE TRAIN: 2WD 4WD ALL WHEEL OTHER:

DRW (DUAL REAR WHEELS) YES NO

BODY STYLE: REG CAB X-CAB OTHER:

BOX OPTION(S): DUMP BOX STAKE BED OTHER:

ENGINE TYPE: GAS DIESEL

ENGINE SIZE:

(Example: 6.0L V8)

GFAWR: LB KG

GRAWR: LB KG

GVWR: LB KG

HEADLAMP NUMBER(S):

DAYTIME RUNNING LIGHTS: YES NO

HEADLAMP CONNECTOR: (Ex. HB3/HB4, 1A/2A, LF/UF, etc.)

CONVERSION HARNESS KIT:

62220 62221 62222 62223 62224 62225 62226 62227 62228 62229 62230 OTHER:

MODIFY BUMPER: YES NO

BUMPER MOD IF. MADE:

U.C. MOUNT INSTALLED: P/N:

MODIFY U.C. MOUNT: YES NO

(IF YES: FAX OR MAIL TO BLIZZARD ENGINEERING -DOCUMENT

CHANGE BELOW)

U.C. MODIFICATION MADE:

MAIL TO: BLIZZARD CORP. • 95 AIRPARK BLVD. • CALUMET, MI 49913 FAX TO: 906-482-5445

BLIZZARD

INSTALLER:

DATE OF INSTALL:

PLOW MODEL

INSTALLED:

680LT 720LT 760LT 760SW 760 800 860 860SW 810 8611LP 8611

1231-10-01 REV 04-03/2005

UNDERCARRIAGE

MODIFICATION NOTICE

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Blizzard Snowplow 800HD Dokumentacja Strona 45

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