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EVInstruments Customer Inquiry for EV Conversions Name:   Business Name: Email Address:   Address:   City:   State:   Zip Code: Country:   Phone:   Fax: Skype: Make of vehicle being converted: Battery type and size:   Total Pack Voltage:   AC or DC:   MiMod Options desired GPS Satellite radio CD MP3 AM/FM Radio Speedometer Door locks Hood release Trunk release Wipers on / off Headlights on / off Interior lights on / off Back-up camera       Other: How did you hear about us? Our Web site Friend Internet Conversion company Electric Auto Association (EAA) Other

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