P.O. Box 50361

Provo, Utah 84605

wildernessEV@msn.com  801-628-6509

Please Print Out and Send - USA Orders Only

Name:_______________________________________________ Kit Type - Circle:   VW Kit    or   Generic Kit

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 ________

Generic Kit  - (Less $350)                                                        $4,095.00 ________

         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______ $82                    

2. Curtis Controller 1221C (120 vdc / 400 amp) -                     $1,495______ $25

3. VW Adapter Plate or Generic Adaptor 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 -                                       $295 ______ $15

Please send Cashiers Check                                                 Parts Total:_________

Money Order or Personal Check to:                               Shipping Total:_________

Wilderness EV                                                               Grand Total: __________

PO Box 50361              Personal Checks need to clear before order is processed and shipped.

Provo , Utah 84605      Shipping ships in three separate packages if ordering full kit and will take up to 3 to 6 weeks.