Quotation Worksheet


CONTACT INFORMATION  
CUSTOMER Name     Date
Address     Apt, Suite or Unit No.
  City     State     Zip
  Phone     Fax     E-Mail
VEHICLE INFORMATION  
VEHICLE Make     Model     Year
TRANSMISSION Manual     Automatic     Number of Speeds Forward
ENGINE Number of Engine Cylinders     Displacement
CONVERSION REQUIREMENTS
PERFORMANCE Performance Desired Top Speed (mph)     Desired Range (mpc)
  Speed or Acceleration-Oriented     Range-Oriented     In-Between
TERRAIN Flat     Slightly-Hilly     Moderately-Hilly
WINTER TEMP 0-15F   16-25F     26+F     Garaged   Yes    No
CHARGER 120 VAC Input     240 VAC Input
ACCESSORIES 900RB Fuel Gauge: Yes     No  
  Power Brake Vacuum: Yes     No  
  Power Steering: Yes     No - Drive From Driveshaft: Yes    No
  Air Conditioning: Yes     No - Drive From Driveshaft: Yes    No
  Double-Shafted Motor Required: Yes     No  
  Heater/Defroster: Yes     No  
PUBLICATION
VIDEOS REQD.		 Convert It     Build Your Own EV     Electric Car Conversion DVD
NOTES: