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Those things are awesome! They look great and really are well made, I was a little worried about them getting messed up with all the in and out but I think they'll hold up fine. I have a set sitting in the spare room waiting to be sent back. My girlfriend bought them for me for Christmas but I have the ONLY superduty truck that they don't fit. They fit all but 03 extended cabs. I guess I'll send them back and get a set of those cool taillights.
Actually, they don't have much to them, and are not hard to make.
All you do is shine LED's into the plexi glass, and create a logo or writing with a sand blaster.
I've seen them get made before. Any half decent sign store should have the stuff to make a custom one for you.