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Transportation Questionnaire

Please take a few moments to fill in the following questionnaire so that we can ensure that you receive detailed and accurate information.

* denotes required information

* Company Name
Address 1
Address 2
Country
Web Page

Business Contact

* Name
Title/Position
Address 1 (if different)
Address 2
* Telephone Number
Fax Number
* Email

Technical Contact

Name
Title/Position
Address 1 (if different)
Address 2
Telephone Number
Fax Number
Email

Type of Application

* Electric vehicle * Hybrid electric vehicle * 42 Volt application * Other

* Please provide a description of your application:

Annual Quantity Required

* 1-5 * 6-20
* 21-100 * 101-1,000 * 1,001+

Commercial Questions

1. What is the time schedule for your project?

2. What volume per year does this project require?

3. What specific requirements would you like us to respond to
beyond meeting the technical specifications?

4. Do you have a specific life target?

5. Do you have a price target for the battery?

6. What additional information do you require?

Technical Questions

Battery Pack Specifications:
Number of Packs	1 #	2 #
Length	mm	mm
Width	mm	mm
Height	mm	mm
Weight Target	kg	kg
Energy Target	kWh	kWh
Power Peak(Continuous)	A	A
Average A Draw	A	A
Peak A Draw	A	A
If available, also provide CAD drawings and duty cycle (power vs. time profile).

Battery Pack Voltage:
Nominal System Voltage	V
Maximum System Voltage	V
Minimum System Voltage	V
Minimum System Voltage for Full Power	V

Charger Specifications:
Maximum Charger Output Voltage	V
Maximum Charger Output Current	A
Maximum Charger Power Output	kW
Minimum Charger Voltage	V

Generator Specifications (HEV):
Maximum Generator Output Voltage	V
Maximum Generator Output Current	A
Maximum Generator Power Output	kW
Hybrid APU Description (type & fuel)