R&R My Gear Form. Red-Head Steering Gears

Customer Name *

Phone *

Email *

Vehicle Type *

Paint Option *

Describe Custom Paint *

Please include specific details of the color and what parts of the gear you want to be the custom color and what parts you want left polished or another color. If you can include a paint swatch or color code we can do our best to match it from our sources of paint.

Mailing Address *

Include Pre-Tapped Ports & Plugs for Hydraulic Steering Assist

Notes for Rebuild

Rebuild Upon Receipt *

If you have received a quote previously and approve the terms, please check this box. If you have not yet received a quote, please

Tracking Number

If you already have a tracking number for the gear you are sending, please enter it here to help us track it.

Let us Rebuild or Remanufacture your Steering Gear