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CONTACT INFORMATION
Company name: *
Contact name: *
Address: *
City: *
State/Province: *
Postal Code: *
Phone number: *
Extension number:
Email address: *
BATTERY INFORMATION
Quote for: *	Buy USED battery Buy NEW battery Sell OLD battery
Voltage: *	6 Volts 8 Volts 12 Volts 24 Volts 36 Volts 48 Volts 72 Volts 80 Volts Other...
Dimensions: *
Ampere:
Model code:	6-85-05 6-85-07 6-85-11 6-85-13 6-125-13 12-85-05 12-85-07 12-85-09 12-85-11 12-85-13 12-85-15 12-85-17 12-85-19 12-85-21 12-100-13 12-125-11 12-125-13 12-125-15 12-125-17 12-125-19 12-125-21 12-125-23 18-85-11 18-85-13 18-85-15 18-85-17 18-85-19 18-85-21 18-85-23 18-85-25 18-85-27 18-85-33 18-100-13 18-125-09 18-120-15 18-125-11 18-125-13 18-125-13 18-125-15 18-125-17 18-125-17 18-125-19 24-85-07 24-85-09 24-85-11 24-85-13 24-85-15 24-85-17 24-85-19 24-85-21 24-85-23 24-85-25 24-85-27 24-100-13 24-110-13 24-125-09 24-125-11 24-125-13 24-125-15 24-125-17 Other models
Recycling credit for old battery:	Yes No
Brand & Model truck:
Comments: