Loading cart contents...
View Cart Checkout
Cart subtotal:

    Customer Information

    Company (required*)

    Address*

    City, State, Zip*

    Your Name*

    Title/Position*

    Phone*

    Email*



    Vehicle Information

    Fleet Number

    Year

    Make

    Model

    Body Type

    Bed/Box Length

    Color

    VIN

    Hours/Mileage

    License Plate

    GVWR (lbs.)

    Fuel (Type/Cap)



    Engine Information

    Year

    Make

    Model

    Liters

    Cylinders

    Horsepower

    Torque

    EIN

    RPM's

    PTO (RPM's)



    Vehicle Emission Control Information

    Conforms to Regulations Number

    U.S. EPA Number

    On-board Diagnostics (OBD) Number

    Fuel Type

    California Emissions

    Engine Group Number

    Evaporative System Number



    Alternative Fuel System Information

    Fuel Type

    System Type

    Injection Type

    Tank Manufacturer

    Tank Catalog Number

    Tank Type (Bed/Box Mount, Manifold, Slick, etc.)

    Tank Capacity

    Tank Size (Diameter x Length x Width)

    Tank Weight (Empty)

    Tank Serial Number

    Remote Fill Location

    Tank Mounting Location

    Notations

      Customer Information

      Company (required*)

      Address*

      City, State, Zip*

      Your Name*

      Title/Position*

      Phone*

      Email*



      Application Information

      Equipment

      Year

      Make

      Model

      S/N

      Weight

      Hours

      Weight Load



      Engine Information

      Year

      Make

      Model

      Weight

      S/N

      Engine Type

      Rated Power

      Rated Torque

      Fuel Type/Cap

      Oil Capacity

      EPA Number

      Cycle(s)

      Cylinders

      Displacement

      Bore x Stroke

      Compression Ratio

      Orientation

      Cooling System

      Air Cleaner

      Ignition Type

      Start Method

      Usage



      Alternative Fuel System Information

      Fuel Type

      System Type

      Injection Type

      SystemType

      Adaptor, Custom Carburetor or Spud Tube

      Tank Size

      Tank Weight (Empty/Full)

      Tank Fuel Capacity

      Tank Mounting (Brackets & Location)

      EPA-Certified or Non-EPA-Certified System



      Accessories/Options

      Desired Hose Length

      If electric start, would you like a 12-volt fuel shut-off safety solenoid?

      If recoil start, would you like a vacuum-controlled fuel lock-off safety solenoid?

      If remote air cleaner, would you like an automatic primer?

      Notations