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Contact Information for: USA
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Head Office
330-D East Hebron Street
Charlotte, NC
USA
28273
 		Phone: 1-800-398-5036
Fax: 1-704-523-0259
E-Mail: sales@activesuspension.com

Information Request Form
In order to assess the correct Roadmaster Active Suspension Kit for your vehicle and/or accurately answer your question(s), please take a moment to complete the following questionairre (required fields are indicated in red):

NAME

ADDRESS

CITY/TOWN

 		STATE
COUNTRY

 		ZIP CODE
AREA CODE

 		PHONE NUMBER
E-MAIL

 		VEHICLE MAKE

MODEL

 		YEAR
2 Wheel Drive 4 Wheel Drive

TRAILER TYPE

LENGTH

 		TONGUE WEIGHT

When installed, Roadmaster Active Suspension has several benefits. Please indicate below what problems you are experiencing:
1. Poor handling unloaded
 Yes
2. Poor handling with a load
 Yes
3. Sway and/or body roll
 Yes
4. Rear sagging
 Yes
5. Bottoming out
 Yes
6. Hard ride
 Yes
7. Axle wrap or wheel hop
 Yes
8. Affected by cross winds
 Yes
9. Other (please specify)

COMMENTS / QUESTIONS: