P.O. Box 504

Lehi, Utah 84043

wildernessEV@msn.com  801-628-6509

Name:_____________________________________ Vehicle:_____________________________

Address:______________________________________________________________________

City, State, Zip Code_____________________________________________________________

Phone#:___________________________Email:_______________________________________

144 Volt Electric Vehicle Kit #4:

If Ordering Full Kit - Check & Fill in Here Only:                $5,095.00 ________

         Circle: Bolt-on Battery Terminal Ends or                   Shipping $150.00 ________

                    Clamp-on Battery Terminals Ends                          Grand Total: _________

    Coupon Code:  

   Individual Parts                                                                         List          Shipping

1. ES-31B Series Motor 90 HP Peak -                                     $1,250______ $85                    

2. Curtis Controller 1231C (144 vdc / 400 amp) -                     $1,695______ $25

3. Adapter Plate -                                                                        $235 ______ $10

4. Shaft Coupler -                                                                        $255 ______ $10

5. 0-5k Throttle Box -                                                                   $95 ______ $7

6. Contactor - Kilovac EV200(2000 amp rupture 200 amp cont.)$120 ______ $5

7. 50-150 VDC Volt Meter -                                                        $85 ______ $5

8. 0-500 Amp Meter -                                                                  $85 ______ $5

9. Gauge Holder Bracket -                                                            $10 ______ $3

10. 50mv - 500 Amp Shunt -                                                         $39 ______ $5

11. 40 ft of #2/0 ga. Wire Cable - $240 at $6 / ft                         $240 ______ $25

12. 12 - High Current Ring Terminals - $48 at $4/ea                      $48 ______ $7

13. 48-Battery Cable Terminals-$120 at $2.50/ea. Wing nut bolt type. $120 ______ $10

14. Fuse - 400 amp slow blow -                                                    $40 ______ $3

15. Quickcharger 144 Volts (Smart Charger)                               $795 ______ $20

16. 12 Volt Battery Charger                                                          $59 ______ $15

Please send Cashiers Check                                                 Parts Total:_________

Money Order or Personal Check to:                                Shipping Total:_________

Wilderness EV                                                               Grand Total: __________

PO Box 504

Lehi, UT 84043

Personal Checks need to clear before order is processed and shipped.

Shipping ships in three separate packages if ordering full kit. Shipping will take up to 3 to 6 weeks.