Leaf Spring Order Form

Customer Information

Name

Email

Phone

Fax

Vehicle Specifications

Make / Model

Year

Spring Specifications

Spring Type
---Double EyedEye / SlipperHook / Slipper

Total Number of Leaves

End Types

L1 - 1st End
---Standard EyeBerlin EyeWrapHook

L1 - 2st End
---Standard EyeBerlin EyeWrapHook

L2 - 1st End
---Standard EyeBerlin EyeWrapHook

L2 - 2nd End
---Standard EyeBerlin EyeWrapHook

L3 - 1st End
---Standard EyeBerlin EyeWrapHook

L3 - 2nd End
---Standard EyeBerlin EyeWrapHook

Please Fill In Applicable Dimensions

L1

L2

L3

L4

L5

H1

H2

H3

H4

CF

STH

EF

HH1

HH2

Spring Width

OE Part Number

Indicate All Leaf Thicknesses

Leaf Thickness

Leaf Number

to

Leaf Thickness

Leaf Number

to

Leaf Thickness

Leaf Number

to

Indicate Clip Locations (Leaf No. & End) and Type

Leaf Number

Type
---BoltInvertedClinch

End
---Standard EyeBerlin EyeWrapHook

Leaf Number

Type
---BoltInvertedClinch

End
---Standard EyeBerlin EyeWrapHook

Indicate Bushing Type and Dimensions

1st End Bushing Type
---MetalRubberNeoprene

Inside Diameter

Outside Diameter

Maximum Width

2nd End Bushing Type
---MetalRubberNeoprene

Inside Diameter

Outside Diameter

Maximum Width

Indicate Trim Information

Trim
---CopeDiamondUntrimmed

On LVS#

To

Trim
---CopeDiamondUntrimmed

On LVS#

To

Trim
---CopeDiamondUntrimmed

On LVS#

To

Indicate Centre Bolt Information

Head Diameter

Head Height

Location on Spring
---Top of SpringBottom of Spring

Please enter any additional information

Attach a Picture or Sketch ( jpeg, jpg, png, gif or pdf only max size 1mb)