Your Name

Phone

Prefered color of footplate * (Other than Black, White or Aluminum. Default color is Matte Black Ceracoke. Any other color I will need a reference color. I can not Guarantee it will be Ceracoke brand, however it will be quality paint. You also have the option to order it plain and you can paint, design, or bedazzle as you wish.)

Drillout *

(These are the 3/16-inch holes drilled all around the footplate)

Attachment holes width (center to center of bolt): *

3"
3 1/4"
Other

If other, what is the measurement from the center of one hole to the center of the other hole?

Attachment hole placement: *

Footplate Notch out for the bends of the bars to fit: *

(Measure between the front forks, you need 1” inch on each side to allow for the bend of the bar for the footplate to sit flush to what you are attaching it to.)

Footplate rear Notch out to allow the casters to spin 360 degrees: *

(Needed if front forks are close. Notches are needed for the plate to fit.)

If possible, please send pictures of what you are attaching the ToeJammer footplate to so that I can best accommodate your needs and wants from my product.

Anything else you would like us to know before we prepare your quote?

Thanks for requesting a quote for your custom ToeJammer Footplate!

We appreciate you contacting us. I will get back in touch with you soon!

Have a great day!

Kevin

Medium 10 x 10 Neon Green Wheelchair Footplate

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