Customer

Address

Telephone No

Site contact

Dept

VEHICLE DETAILS

Make of vehicle

Model

Type

Capacity

Date of manufacture

Battery voltage

Battery capacity

CONTROLLER DETAILS (EXISTING)

Make

Type / model

Size of enclosure / space available

MOTOR DETAILS (TRACTION)

No of motors

Make

Type

No of terminals

Motor (H.P. or K.W.)

Rating

REQUIREMENTS / RECOMMENDATIONS

Power unit type / rating

Bypass option Yes / No

Power steering Yes / No

Pump control

Accelerator type

Acc. mntg brkt Yes / No

(supply details)

CONTACTOR RATINGS

Direction

Bypass (if fitted)

Power steering (if fitted)

Pump (P1)

Pump (P2) (if fitted)

Please advise if there are any further technical details or additional information relative to this enquiry.