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Wheel Repair Form
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Please fill this form out if you are sending your wheels for repairs.

First Name:
Last Name:
Email Address:
Address:
City:
State:
Zip Code:
Vehicle Make and Model
Vehicle Year
Wheel Size
Quantity to be Repaired
Weld
Straightened
Repair/Refinish
Polished
Custom Painted
Security code:
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Disclaimer Form
Please read and enclose a signed copy with your repair form.

Rim Technologies Mobile Wheel Repair
725 State Route 121N
New Paris, OH 45347
Phone: (866) 540-7276

Copyright © 2010 Rim Technologies
All rights reserved
The Wheelguard logo is a trademark of Rim Technologies
All other registered and unregistered trademarks in this website are the sole property of their respective owners.

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