Wufoo

'E7' PRODUCTION SLOT RESERVATION FORM

Law enforcement agencies may place a reservation for a production slot with Carbon Motors Corporation for the world's first purpose-built law enforcement patrol vehicle, the 'E7'. This no-obligation reservation will provide preferred customer status when issuing your official purchase order and will provide Carbon Motors an opportunity to better plan its production and rollout plan.

Provided that Carbon Motors Corporation will build the Carbon 'E7' to my specification after I have selected from over 50 options on the vehicle, that the vehicle will provide a lower total cost of ownership, and that it will be backed by a comprehensive service program, our agency would like to put forth the following request for a no-obligation reservation for production slots as follows:

CONTACT INFORMATION
Your Name * First Last
Title and Rank *
Phone Number * ### - ### - ####
Email *
Initial here - This will act as your digital signature acknowledging that you are authorized to represent your agency *
AGENCY CONTACT INFORMATION
Agency Name *
Address
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Agency Phone ### - ### - ####
Agency Web Site
PLANNING VOLUME

Number of Vehicles You Would Like to Reserve Per Annum
2012 *

Planning Volumes
Please Specifiiy the Number of Vehicles Per Annum
2013 *

Planning Volumes
Please Specifiiy the Number of Vehicles Per Annum
2014 *

Planning Volumes
Please Specifiiy the Number of Vehicles Per Annum
2015 *

Planning Volumes
Please Specifiiy the Number of Vehicles Per Annum
2016 *

Planning Volumes
Please Specifiiy the Number of Vehicles Per Annum
VEHICLE BUILD CONFIGURATION
POWERTRAIN

Comes Standard with:

- Clean Turbodiesel Engine
- Multi-Speed Automatic Transmission

Check Off Desired Options
Assume Competitive Market Based Pricing
BODY / CHASSIS
Please select optional items below:
Undercarriage Skid Plate - Front & Rear Ballistic Protection - Minimum NIJ Level IIIA in Dash Panel, Cowlside and Front Door Lowers Rear Passenger Compartment Windows Protected Against Occupant Breakage
ELECTRICAL
Please select optional items below:
Interior AC Power Outlets (2) Heated Side View Mirrors Heated Washers Backup Camera
IT
Comes Standard with:

- On-board Rapid Command Architecture (ORCA): a Comprehensive User Interface
Please select optional items below:
Global Positioning System (GPS) Custom Software Configuration for ORCA FATPOT PortalONE - Includes Email, Messaging, Bulletin; Dispatch CAD View; Mapping, GPS, AVL and: Police Records Inquiry FATPOT Advance - PortalONE Plus Records Management Access and Report Writing FATPOT Back-Office - Administrative Solution for Dispatch, Records and Police Management Microsoft Office Integrated Citation Printer
SAFETY
Comes Standard with:

- Fully-Integrated Cockpit
- Purpose-Built Seat for Use with On-Body Duty Gear
Please select optional items below:
On-Board Integrated Mount Fire Extinguisher Partition Upper (Cage) Between Front and Rear Passenger Compartment Rear Compartment Lateral Interference Prevention Device (RCLIPD) Audible/Visual Proximity Sensor Alert (For Report Writing) Top Speed Limiter (Agency Designated MPH)
EMERGENCY LIGHTING
Please select optional items below:
Emergency Lighting Switch Package on Steering Wheel and Center Console Stealth (Black-out) Switch for Interior and Exterior Vehicle Lighting Push Bar Markers (Set of 8) - Front & Rear Front Fascia Emergency Lights / Driving Lights Wig-Wag Light Package Header Emergency Lights - Front Take Down Light Package Forward Facing Mid-Level Mounted Emergency Lights (At the Base of the Windshield) Spot Lamp - Driver Only Spot Lamp - Driver/Passenger Set With Dual Independent Control Cant Rail Emergency Lights Alley Lights Header Emergency Lights - Rear Rear Facing, High Mounted Amber Directional Stick Side Marker Emergency Lights (Set of 4) Exterior Decklid Emergency Lights Interior Decklid Emergency Lights Programmable Beat Tags - Identifies Vehicle & Designated Patrol Area
APPEARANCE
Please select optional items below:
Base Level Agency Specific Decals - "Police", Agency Badge and Minimal Striping Premium Level Highly Reflective Decals - Custom Designed Body Color - Custom Deluxe Wheel Finish Delete Model Name Badging Privacy Glass (From B-pillar Rearward)
CONVENIENCE
Please select optional items below:
Heads Up Display (HUD) Heated 6-way Power Seats; Ventilation/Memory on Driver Seat Only Intelligent Key with Officer Settings Memory Capability Ergonomically Correct Writing Surface Interior Ambient Light Package Electronic Log Book Functionality - Automatically Logs Details of Each Journey: Mileage, Date and Time, Point of Origination and Destination Satellite Radio Internet Access MP3 / Aux Jack USB Connection Jack Vehicle Anti-theft System Heavy Duty Floor Mats Modular Trunk Organizer Refrigerated Storage Area
LAW ENFORCEMENT EQUIPMENT
Please select optional items below:
Automatic License Plate Recognition (ALPR) System - Processor & Single Camera Automatic License Plate Recognition (ALPR) System - Processor & Dual Camera Audio/Video Surveillance - 180 Degree Forward Facing Audio/Video Surveillance - 120 Degree Rear Facing (Only Available w/Forward Facing System) Audio/Video Surveillance - 180 Degree Rear Passenger Compartment (Only Available w/Forward Facing System) Forward Looking Infrared (FLIR) System Lojack Tracking System Premium Radar System - Dual Antennas: FWD and RWD Facing Two-way Emergency Communication System (Radio) WMD Radiation Detector WMD Chemical Detector WMD Biological Detector Shot Gun Mount Rifle Mount Flashlight and Receptacle/Charger Rear Door Trim Panels - ADD Tire Deflation Device
SERVICE
Comes Standard with:

- Comprehensive 24/7/365 Full-Service Support
- Standard Mileage Comprehensive Warranty
- Designed to 250,000 mile durability specification
Please select optional items below:
High-Mileage and Heavy Duty Usage Warranty
Carbon Motors Corporation reserves the right to alter specifications at any time without notice due to business or technical improvements.
Do Not Fill This Out

Wufoo

'E7' PRODUCTION SLOT RESERVATION FORM

CONTACT INFORMATION

AGENCY CONTACT INFORMATION

PLANNING VOLUME

VEHICLE BUILD CONFIGURATION POWERTRAIN Comes Standard with: - Clean Turbodiesel Engine- Multi-Speed Automatic Transmission

VEHICLE BUILD CONFIGURATION
POWERTRAIN

Comes Standard with:

- Clean Turbodiesel Engine
- Multi-Speed Automatic Transmission