Custom Orders - Real-Tite Plugs

Online Order Form

Fill out the form below or if you prefer you can download a pdf here to print and fax it to 952-938-0692.

Name*
First Last
Phone*
Email*

Address*
Street Address Address Line 2 City State/Province ZIP / Postal Code Country

Customer Purchase Order Number (optional)
Feel free to add your own order number for your own records.

Counter Sunk
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Style Number Diameter in Inches Quantity

Hex Head
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Style Number Diameter in Inches Quantity

Thumb Bolt
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Style Number Diameter in Inches Quantity

Stainless Steel Top Countersunk
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New Expansion Sleeve
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Style Number Diameter in Inches Quantity

5/32 T-Handle Hex Key
Style Number Diameter in Inches Quantity
Chrome Finishing Plate with Hex Extension
Call for cover substitution
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Style Number Diameter in Inches Chrome Cover Size Quantity

Chrome Finishing Plate — Flush
Call for cover substitution
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Style Number Diameter in Inches Chrome Cover Size Quantity

Hex Extension
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Style Number Diameter in Inches Quantity

NEW Security Extension Plug — Pinned
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Style Number Diameter in Inches Quantity

NEW Security Extension Plug — Hooked
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Style Number Diameter in Inches Quantity