Wiper Quote Request Step 1 of 2 50% Contact InfoName* First Last Company Name* Email* Phone Number* Rep Information AddressAddress Street Address Address Line 2 City State / Province ZIP / Postal Code CountryAfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Application Type* New Wiper Replace Existing Type of Wiper* Way Wiper - Molded, Nitrile Way Wiper - Fabricated, Buna-N Stock Way Wiper (specify later) Telescopic Cover Insert/Wiper Dynatect Recommendation Unknown* *attach photo if possible. Or request RA# to send us your part sample for identification and quotingQuantity Needed Stock Wiper Options Type A Wiper, 22" Length Type B Wiper, 22" Length Type C Wiper, 22" Length Type D Wiper, 22" Length K1505 – 96” Long SK7062 3/4” Molded, 30” SK7082-30 Low Profile, 30” Knee Edge K4628 27" L Knee Edge K8839 31.5" L Stock Wipers: Quantity Needed Download Telescopic Parts List (PDF)>Telescopic Wipers/Parts (list) Buna-N Fabricated Way Wiper Profiles Fabricated Wiper Profile Type A 0220001 Type B 0220002 Type D 0220004 K4628 K8839 K11252 Urethane Molded Way Wiper Profiles Molded Wiper Profiles 3/4" Molded 1" Molded Low Profile Molded Low Profile Thin Molded Other/Custom Profile Wiper Part # (if known) Machine Make/Model/Axis Operating Conditions* Wet Dry Chip Guard? Yes No Way Width Way Length Comments/Questions:Request RA to send wiper sample? Yes No Attach File(s) Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, doc, docx, xls, xlsx, ppt, pptx, stp, step, dxf, dwg, slddrw, sldprt, idj, ipn, ipt, idw, ide, tif, tiff, Max. file size: 12 MB, Max. files: 5. CAPTCHAEmailThis field is for validation purposes and should be left unchanged.