Fill out the following Table completely and accurately so that we can qualify the vehicle with the proper mount application that will be used to compliment the Rifled Air Conditioning System you will be installing. If a question cannot be answered in detail, use the comment section to describe any additional information you feel relevant to the installation. Please use the line number as a reference.

Bus Body Manufacturer: ________________________________________Build Date:________________

Bus Model:_________________________ Model Year:_____________ Body Length: ________________

1. Type of Chassis:_______________________________________________________________________

2. Chassis Manufacturer: _________________________________________________________________

3. Year Chassis Produced: ___________

4. Engine Manufacturer: _________________________________________________________________

5. Engine Model: _________________________________________________________________________

6. Engine Size: ______________________

7. Engine Location: Front _________ / Rear _________

8. Type of RAC System to be Used: (check one)
A: Single Compressor ____ / B: Dual Compressor____ / C: Add-on to OEM____ / D: Tie-in to OEM______

9. Is the Vehicle presently equipped with A/C? __________ / Specifications of A/C: ___________________________

10. Compressor Preference: (check one) DynEco 20 cid_________ / GM 12.6 cid________ / Sanden-Seltec 10 cid________

11. Type of Brakes: (check one) Air_______ / Hydraulic _______

12. Type of Transmission: _________________________________________________________________

13. Alternator Information: Manufacturer: ________________________________ / Amps:________ / Voltage:______

14. Case Type: (check one) Small _______ / Large_______ / Extra-Large________

COMMENTS:
___________________________________________________________________________________________ ___________________________________________________________________________________________

RAC's Mount Kit Recommendation:_____________________ / Price:_________

RAC Notes -- Date:________ / _____________________________________________________________

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