P.O. Box 50361

Provo, Utah 84605

wildernessEV@msn.com  801-628-6509

Name:_____________________________________ Vehicle:_____________________________

Address:______________________________________________________________________

City, State, Zip Code_____________________________________________________________

Phone#:___________________________Email:_______________________________________

120 Volt Electric Vehicle Kit #3:

If Ordering Full Kit - Check & Fill in Here Only:                 $4,445.00 ________

         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______ $82                    

2. Curtis Controller 1221C (120 vdc / 400 amp) -                     $1,495______ $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. 40-Battery Cable Terminals-$100 at $2.50/ea. Wing nut bolt type. $100 ______ $10

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

15. Quickcharger 120 Volts (Smart Charger)                               $600 ______ $20

16. 12 Volt Battery Charger                                                          $59 ______ $15

Optional: Capacitive Battery Charger -                                       $145 ______ $15

Please send Cashiers Check                                                 Parts Total:_________

Money Order or Personal Check to:                               Shipping Total:_________

Wilderness EV                                                               Grand Total: __________

PO Box 1612                  Personal Checks need to clear before order is processed and shipped.

Spanish Fork , UT 84660           Shipping ships in three separate packages if ordering full kit. Shipping will take up to 3 to 6 weeks.

If ordering other parts besides the VW, like the Geo-Metro, Ford Festiva or for the blank adaptor plates, please write it on the order form when mailing in. Remember clutch plates for other vehicles besides the VWs needs to be shipped to us to be able to build your shaft coupler.  There is no additional cost for these custom shafts.