CUSTOMER ORDERING FORM

NAME
COMPANY
ADDRESS 1
ADDRESS 2
CITY
STATE
ZIP
PHONE
E-MAIL ADDRESS
CUSTOMER REQUIREMENTS
Standard Vehicle Golf Car Physically Impaired Utility Vehicle Shuttle Vehicle	OPTIONS: Standard Roof 400 AH Battery Pack CB Radio Transmitter Roof with PV Power Pack
Invoice to be forwarded to customer within 5 working days after receipt of order. Customer order can also be placed by faxing it to (212) 679-2310
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