
To Order By Mail - Fax - Phone
By Mail:
Please measure your vehicles A and B dimensions as shown on the diagram below.
Print out this order form, fill it in and enclose a check or money order,
shipping instructions, and the make and year of your vehicle. Mail it to:
Rollout, 232 N 230 St., Arma, Kansas 66712
By Phone:
Please determine A and B dimensions, although in most cases we will know your
dimensions if you know the make and year of your vehicle (long bed or short
bed). Then phone in your order to us toll free at 888-347-0037
By Fax:
Please measure A and B dimensions as shown below. Print out this order form,
fill it in, then fax your order to us at 620-347-4754
Delivery is quick, shipped by FedEx Ground, normal delivery in 7to 10 days from date order is received.

A. Truck Bed Length ______________________________
B. Distance Between Wheel Wells ____________________
Long Bed ______________ Short Bed ________________
Make_________________ Model ____________________ Year _________________
Bedliner? ____ no ____ yes If yes, sprayed or plastic? ___________________
Name__________________________________________
Address________________________________________
City, State, Zip Code______________________________
Daytime Phone( )__________________________
Please check at least one!
__________ Original Rollout - $695.00
__________ Double Decker Option - additional $250.00
__________ Aluminum Deck Option - additional $250.00
__________ Bedliner Option - additional $250.00
(please make sure you
have
indicated sprayed or plastic above)