Leer Brochure

100RCC & 180CC ORDER FORM

3. 100RCC REAR OPTIONS: Consider security, visibility and access requirements.

3. 180CC REAR OPTIONS: Consider security, visibility and access requirements.

Truck Year __________________________________

Truck Brand ________________________________

Truck Model ________________________________

Cab Style q Regular Cab

q Quad Cab – 4 Door

q Extended Cab

q Double Cab

o 100RCC Recessed Dark Tint Rear Door with Double T-Handles (Standard)

o 100RCC Solid Rear Door with Color Matched

o 100RCC Solid Rear Door with Color Matched Fiberglass Insert & Stainless Steel Drop T-Handle

o 180CC Recessed Dark Tint Rear Door with Double T-Handles (Standard)

o 180CC Solid Rear Door with Color Matched

o 180CC Solid Rear Door with Color Matched Fiberglass Insert & Stainless Steel Drop T-Handle

Box Style q Long Box

Aluminum Insert & Double T-Handles

Aluminum Insert & Double T-Handles

q Short Box

q Extra Short

q Flareside/Sportside/Stepside

Truck VIN ______________________________

4. 100RCC SIDE OPTIONS:

4. 180CC SIDE OPTIONS:

Truck Color Code ________________________

1. AUTOMOTIVE PAINTOPTION: o Base Coat/Clear Coat Automotive Paint o Tri-Coat Paint (Additional Cost) 2. FRONT OPTIONS: Consider needed visibility, accessibility and security.

Solid Sides No Windows (Standard) (Sides will show recess) o Drivers Side o Passengers Side

50/50 Side Slider Window with Screen o Drivers Side o Passengers Side Pet Screen for 50/50 Side Slider Window with Screen o Drivers Side o Passengers Side

Solid Sides No Windows (Standard) (Sides will show recess) o Drivers Side o Passengers Side

50/50 Side Slider Window with Screen o Drivers Side o Passengers Side Pet Screen for 50/50 Side Slider Window with Screen o Drivers Side o Passengers Side

o Roped-in Fixed Front Window (Standard) o Radius Framed Front Picture Window o Radius Framed Removable Front Picture Window – (N/A with Tool Boxes)

o Front Radius Sliding Window

o Radius Framed Removable Front Sliding Window – (N/A with Tool Boxes)

Radius Side Windoor (Windoor N/A with tool boxes) o Drivers Side o Passengers Side

Radius Side Windoor Slider (Windoor Slider N/A with tool boxes) o Drivers Side o Passengers Side

Radius Side Windoor (Windoor N/A with tool boxes) o Drivers Side o Passengers Side

Radius Side Windoor Slider (Windoor Slider N/A with tool boxes) o Drivers Side o Passengers Side

Radius Side Painted Access Door with Stainless Steel Drop T-Handle o Drivers Side o Passengers Side

Radius Side Painted Access Door with Tool Box o Drivers Side o Passengers Side

Radius Side Painted Access Door with Stainless Steel Drop T-Handle o Drivers Side o Passengers Side

Radius Side Painted Access Door with Tool Box o Drivers Side o Passengers Side

Stainless Steel Drop T-handle

Optional Painted Access Door with Tool Box

100RCC & 180CC ORDER FORM 8