<!DOCTYPE HTML PUBLIC "-//W3C//DTD HTML 4.0 Transitional//EN"> <html> <head> <title>TELMA Technical Website - Install Sheet</title> <meta content="text/html; charset=unicode" http-equiv="Content-Type"> <meta content="en-us" http-equiv="Content-Language"> <meta name="GENERATOR" content="MSHTML 8.00.6001.18904"> <style type="text/css"> body,td,th { font-family: Verdana, Geneva, sans-serif; font-size: 14px; color: #FFF; .required-field { color: #FF0; } .required-field { color: #FF0; } .section-title { color: #80FF80; } </style> </head> <body style="color: rgb(255, 255, 255); background-image: url(mochup_files/rightbg.jpg);" link="#00cc00" vlink="#00ccff"> <h1>Telma Installation Drawing Request Form</h1> <hr><!--webbot BOT="GeneratedScript" PREVIEW=" " startspan --> <script language="JavaScript"><!-- function FrontPage_Form1_Validator(theForm) { if (theForm.CHASSISANGLE.value == "") { alert("Please enter a value for the \"CHASSISANGLE\" field."); theForm.CHASSISANGLE.focus(); return (false); } if (theForm.CHASSISANGLE.value.length < 1) { alert("Please enter at least 1 characters in the \"CHASSISANGLE\" field."); theForm.CHASSISANGLE.focus(); return (false); } if (theForm.TRANSMISSIONANGLE.value == "") { alert("Please enter a value for the \"TRANSMISSIONANGLE\" field."); theForm.TRANSMISSIONANGLE.focus(); return (false); } if (theForm.TRANSMISSIONANGLE.value.length < 1) { alert("Please enter at least 1 characters in the \"TRANSMISSIONANGLE\" field."); theForm.TRANSMISSIONANGLE.focus(); return (false); } if (theForm.AXLEANGLE.value == "") { alert("Please enter a value for the \"AXLEANGLE\" field."); theForm.AXLEANGLE.focus(); return (false); } if (theForm.AXLEANGLE.value.length < 1) { alert("Please enter at least 1 characters in the \"AXLEANGLE\" field."); theForm.AXLEANGLE.focus(); return (false); } if (theForm.A.value == "") { alert("Please enter a value for the \"A\" field."); theForm.A.focus(); return (false); } if (theForm.A.value.length < 1) { alert("Please enter at least 1 characters in the \"A\" field."); theForm.A.focus(); return (false); } var chkVal = theForm.A.value; var prsVal = chkVal; if (chkVal != "" && !(prsVal > "0")) { alert("Please enter a value greater than \"0\" in the \"A\" field."); theForm.A.focus(); return (false); } if (theForm.DV.value == "") { alert("Please enter a value for the \"DV\" field."); theForm.DV.focus(); return (false); } if (theForm.DV.value.length < 1) { alert("Please enter at least 1 characters in the \"DV\" field."); theForm.DV.focus(); return (false); } if (theForm.L1.value == "") { alert("Please enter a value for the \"L1\" field."); theForm.L1.focus(); return (false); } if (theForm.L1.value.length < 1) { alert("Please enter at least 1 characters in the \"L1\" field."); theForm.L1.focus(); return (false); } if (theForm.S1.value == "") { alert("Please enter a value for the \"S1\" field."); theForm.S1.focus(); return (false); } if (theForm.S1.value.length < 1) { alert("Please enter at least 1 characters in the \"S1\" field."); theForm.S1.focus(); return (false); } if (theForm.DD.value == "") { alert("Please enter a value for the \"DD\" field."); theForm.DD.focus(); return (false); } if (theForm.DD.value.length < 1) { alert("Please enter at least 1 characters in the \"DD\" field."); theForm.DD.focus(); return (false); } if (theForm.E.value == "") { alert("Please enter a value for the \"E\" field."); theForm.E.focus(); return (false); } if (theForm.E.value.length < 1) { alert("Please enter at least 1 characters in the \"E\" field."); theForm.E.focus(); return (false); } var chkVal = theForm.E.value; var prsVal = chkVal; if (chkVal != "" && !(prsVal > "0")) { alert("Please enter a value greater than \"0\" in the \"E\" field."); theForm.E.focus(); return (false); } if (theForm.L2.value == "") { alert("Please enter a value for the \"L2\" field."); theForm.L2.focus(); return (false); } if (theForm.L2.value.length < 1) { alert("Please enter at least 1 characters in the \"L2\" field."); theForm.L2.focus(); return (false); } if (theForm.S2.value == "") { alert("Please enter a value for the \"S2\" field."); theForm.S2.focus(); return (false); } if (theForm.S2.value.length < 1) { alert("Please enter at least 1 characters in the \"S2\" field."); theForm.S2.focus(); return (false); } if (theForm.CC.value == "") { alert("Please enter a value for the \"CC\" field."); theForm.CC.focus(); return (false); } if (theForm.CC.value.length < 1) { alert("Please enter at least 1 characters in the \"CC\" field."); theForm.CC.focus(); return (false); } if (theForm.F.value == "") { alert("Please enter a value for the \"F\" field."); theForm.F.focus(); return (false); } if (theForm.F.value.length < 1) { alert("Please enter at least 1 characters in the \"F\" field."); theForm.F.focus(); return (false); } if (theForm.S3.value == "") { alert("Please enter a value for the \"S3\" field."); theForm.S3.focus(); return (false); } if (theForm.S3.value.length < 1) { alert("Please enter at least 1 characters in the \"S3\" field."); theForm.S3.focus(); return (false); } if (theForm.P1.value == "") { alert("Please enter a value for the \"P1\" field."); theForm.P1.focus(); return (false); } if (theForm.P1.value.length < 1) { alert("Please enter at least 1 characters in the \"P1\" field."); theForm.P1.focus(); return (false); } if (theForm.S4.value == "") { alert("Please enter a value for the \"S4\" field."); theForm.S4.focus(); return (false); } if (theForm.S4.value.length < 1) { alert("Please enter at least 1 characters in the \"S4\" field."); theForm.S4.focus(); return (false); } if (theForm.HV.value == "") { alert("Please enter a value for the \"HV\" field."); theForm.HV.focus(); return (false); } if (theForm.HV.value.length < 1) { alert("Please enter at least 1 characters in the \"HV\" field."); theForm.HV.focus(); return (false); } if (theForm.VIN.value == "") { alert("Please enter a value for the \"VIN\" field."); theForm.VIN.focus(); return (false); } if (theForm.VIN.value.length < 8) { alert("Please enter at least 8 characters in the \"VIN\" field."); theForm.VIN.focus(); return (false); } if (theForm.VIN.value.length > 20) { alert("Please enter at most 20 characters in the \"VIN\" field."); theForm.VIN.focus(); return (false); } var checkOK = "ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz `R}aS~xÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ0123456789-"; var checkStr = theForm.VIN.value; var allValid = true; for (i = 0; i < checkStr.length; i++) { ch = checkStr.charAt(i); for (j = 0; j < checkOK.length; j++) if (ch == checkOK.charAt(j)) break; if (j == checkOK.length) { allValid = false; break; } } if (!allValid) { alert("Please enter only letter and digit characters in the \"VIN\" field."); theForm.VIN.focus(); return (false); } if (theForm.CUSTOMER.value == "") { alert("Please enter a value for the \"CUSTOMER\" field."); theForm.CUSTOMER.focus(); return (false); } if (theForm.CUSTOMER.value.length < 2) { alert("Please enter at least 2 characters in the \"CUSTOMER\" field."); theForm.CUSTOMER.focus(); return (false); } if (theForm.CUSTOMER.value.length > 50) { alert("Please enter at most 50 characters in the \"CUSTOMER\" field."); theForm.CUSTOMER.focus(); return (false); } var checkOK = "ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz `R}aS~xÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ0123456789- \t\r\n\f"; var checkStr = theForm.CUSTOMER.value; var allValid = true; for (i = 0; i < checkStr.length; i++) { ch = checkStr.charAt(i); for (j = 0; j < checkOK.length; j++) if (ch == checkOK.charAt(j)) break; if (j == checkOK.length) { allValid = false; break; } } if (!allValid) { alert("Please enter only letter, digit and whitespace characters in the \"CUSTOMER\" field."); theForm.CUSTOMER.focus(); return (false); } if (theForm.TELMA_Installed_Part_Number.value == "") { alert("Please enter a value for the \"TELMA_Installed_Part_Number\" field."); theForm.TELMA_Installed_Part_Number.focus(); return (false); } if (theForm.TELMA_Installed_Part_Number.value.length < 8) { alert("Please enter at least 8 characters in the \"TELMA_Installed_Part_Number\" field."); theForm.TELMA_Installed_Part_Number.focus(); return (false); } if (theForm.TELMA_Installed_Part_Number.value.length > 8) { alert("Please enter at most 8 characters in the \"TELMA_Installed_Part_Number\" field."); theForm.TELMA_Installed_Part_Number.focus(); return (false); } var checkOK = "ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz `R}aS~xÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ0123456789-"; var checkStr = theForm.TELMA_Installed_Part_Number.value; var allValid = true; for (i = 0; i < checkStr.length; i++) { ch = checkStr.charAt(i); for (j = 0; j < checkOK.length; j++) if (ch == checkOK.charAt(j)) break; if (j == checkOK.length) { allValid = false; break; } } if (!allValid) { alert("Please enter only letter and digit characters in the \"TELMA_Installed_Part_Number\" field."); theForm.TELMA_Installed_Part_Number.focus(); return (false); } if (theForm.TELMA_Installed_SerialNumber.value == "") { alert("Please enter a value for the \"TELMA_Installed_SerialNumber\" field."); theForm.TELMA_Installed_SerialNumber.focus(); return (false); } if (theForm.TELMA_Installed_SerialNumber.value.length < 6) { alert("Please enter at least 6 characters in the \"TELMA_Installed_SerialNumber\" field."); theForm.TELMA_Installed_SerialNumber.focus(); return (false); } if (theForm.TELMA_Installed_SerialNumber.value.length > 9) { alert("Please enter at most 9 characters in the \"TELMA_Installed_SerialNumber\" field."); theForm.TELMA_Installed_SerialNumber.focus(); return (false); } var checkOK = "0123456789-"; var checkStr = theForm.TELMA_Installed_SerialNumber.value; var allValid = true; var decPoints = 0; var allNum = ""; for (i = 0; i < checkStr.length; i++) { ch = checkStr.charAt(i); for (j = 0; j < checkOK.length; j++) if (ch == checkOK.charAt(j)) break; if (j == checkOK.length) { allValid = false; break; } allNum += ch; } if (!allValid) { alert("Please enter only digit characters in the \"TELMA_Installed_SerialNumber\" field."); theForm.TELMA_Installed_SerialNumber.focus(); return (false); } var chkVal = allNum; var prsVal = parseInt(allNum); if (chkVal != "" && !(prsVal > "200000")) { alert("Please enter a value greater than \"200000\" in the \"TELMA_Installed_SerialNumber\" field."); theForm.TELMA_Installed_SerialNumber.focus(); return (false); } if (theForm.INSTALLER_NAME.value == "") { alert("Please enter a value for the \"INSTALLER_NAME\" field."); theForm.INSTALLER_NAME.focus(); return (false); } if (theForm.INSTALLER_NAME.value.length < 1) { alert("Please enter at least 1 characters in the \"INSTALLER_NAME\" field."); theForm.INSTALLER_NAME.focus(); return (false); } if (theForm.PHONE_NUMBER.value == "") { alert("Please enter a value for the \"PHONE_NUMBER\" field."); theForm.PHONE_NUMBER.focus(); return (false); } if (theForm.PHONE_NUMBER.value.length < 10) { alert("Please enter at least 10 characters in the \"PHONE_NUMBER\" field."); theForm.PHONE_NUMBER.focus(); return (false); } var checkOK = "0123456789--"; var checkStr = theForm.PHONE_NUMBER.value; var allValid = true; for (i = 0; i < checkStr.length; i++) { ch = checkStr.charAt(i); for (j = 0; j < checkOK.length; j++) if (ch == checkOK.charAt(j)) break; if (j == checkOK.length) { allValid = false; break; } } if (!allValid) { alert("Please enter only digit and \"-\" characters in the \"PHONE_NUMBER\" field."); theForm.PHONE_NUMBER.focus(); turn (false); } if (theForm.EMAILADDRESS.value == "") { alert("Please enter a value for the \"EMAILADDRESS\" field."); theForm.EMAILADDRESS.focus(); return (false); } if (theForm.EMAILADDRESS.value.length < 7) { alert("Please enter at least 7 characters in the \"EMAILADDRESS\" field."); theForm.EMAILADDRESS.focus(); return (false); } if (theForm.EMAILADDRESS.value.length > 50) { alert("Please enter at most 50 characters in the \"EMAILADDRESS\" field."); theForm.EMAILADDRESS.focus(); return (false); } var checkOK = "ABCDEFGHIJKLMNOPQRSTUVWXYZabcdefghijklmnopqrstuvwxyz `R}aS~xÀÁÂÃÄÅÆÇÈÉÊËÌÍÎÏÐÑÒÓÔÕÖØÙÚÛÜÝÞßàáâãäåæçèéêëìíîïðñòóôõöøùúûüýþÿ0123456789-@.-"; var checkStr = theForm.EMAILADDRESS.value; var allValid = true; for (i = 0; i < checkStr.length; i++) { ch = checkStr.charAt(i); for (j = 0; j < checkOK.length; j++) if (ch == checkOK.charAt(j)) break; if (j == checkOK.length) { allValid = false; break; } } if (!allValid) { alert("Please enter only letter, digit and \"@.-\" characters in the \"EMAILADDRESS\" field."); theForm.EMAILADDRESS.focus(); return (false); } return (true); } //--></script><!--webbot BOT="GeneratedScript" endspan --> <form onsubmit="return FrontPage_Form1_Validator(this)" method="post" name="FrontPage_Form1" action="../_vti_bin/shtml.dll/TELMATECHWEB/installationdatasheet.html" webbot-action="--WEBBOT-SELF--"><!--webbot bot="SaveResults" s-email-format="TEXT/PRE" b-email-label-fields="TRUE" s-builtin-fields s-form-fields="CUSTOMER CUSTOMER_CITY_STATE INSTALLER_NAME INSTALLER_CITY_STATE PHONE_NUMBER INSTALLER_CONTACT_NAME EMAILADDRESS VIN CHASSISMAKE WB ENGINEMAKE TQ HP ENGINECONFIG TRANS TQCONVRATIO AXLEMAKE DRIVECONFIG TELMA_Installed_Part_Number TELMA_Installed_SerialNumber TELMA_Installed_Kit TELMA_Installed_Brackets MILEAGE HOURS TIRESIZE GVW GCW BRAKES ABS ABSMODEL AXLERATIO DRIVESHAFTSERIES TUBEDIAMETER MAINUSE APPLICATION ALTERNATORSPEC BATTERYSPECS Option_Two_Speed_Axle Option_Air_Suspension Body_Installed A E F P1 P2 P3 DV DC DB HV HC L1 L2 L3 L4 LA1 LA2 LA3 LA4 S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 CC DD CHASSISANGLE CHASSISUPDOWN TRANSMISSIONANGLE TRANSMISSIONUPDOWN AXLEANGLE AXLEUPDOWN commentsNotes " S-Email-Address="engineering@telmacse.com" startspan --> <h4> <input value="0" name="VTI-GROUP" type="hidden"><!--webbot bot="SaveResults" endspan i-checksum="43374" -->Please provide the following information from the installation documents <a href="DOC/PDF/TIL03019%20CHASSIS%20MEASUREMENT%20LAYOUT%20SHEETS%20MODIFIED%202-20-04.pdf" target="_blank">TIL03019</a> and <a href="DOC/PDF/TIL03020%20CHASSIS%20MEASUREMENT%20GUIDE.pdf" target="_blank">TIL03020</a>.</h4> <span class="required-field">*</span> Indicates Required Data <h3 class="section-title">Driveline Angles </h3> <table id="AutoNumber1" style="border-collapse: collapse;" border="0" bordercolor="#111111" cellpadding="0" cellspacing="0" height="200" width="489"> <tbody> <tr> <td align="left" height="69" valign="top" width="199"><span class="required-field">* </span>Chassis Angle:&nbsp;&nbsp;&nbsp;&nbsp; <br> Up / Down: </td> <td align="left" valign="top" width="244"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --> <input tabindex="1" size="6" name="CHASSISANGLE">(should always be Zero!)<br> <select tabindex="2" size="1" name="CHASSISUPDOWN"> <option selected="selected">Pick...</option> <option value="UP">UP</option> <option value="DOWN">DOWN</option> </select> </td> </tr> <tr> <td align="left" height="63" valign="top"><span class="required-field">*</span> Transmission Angle:&nbsp;<br> Up / Down:</td> <td align="left" valign="top"><input tabindex="3" size="6" name="TRANSMISSIONANGLE">(use format #.#)<br> <select tabindex="4" size="1" name="TRANSMISSIONUPDOWN"> <option selected="selected">Pick...</option> <option value="UP">UP</option> <option value="DOWN">DOWN</option> </select> </td> </tr> <tr> <td align="left" valign="top"><span class="required-field">*</span> Rear Axle Angle:&nbsp;&nbsp; <br> Up / Down:&nbsp;&nbsp; </td> <td align="left" valign="top"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --> <input tabindex="5" size="6" name="AXLEANGLE"> (use format #.#)<br> <select tabindex="6" size="1" name="AXLEUPDOWN"> <option selected="selected">Pick...</option> <option value="UP">UP</option> <option value="DOWN">DOWN</option> </select> </td> </tr> </tbody> </table> <hr> <h3 class="section-title">Measurement Entry</h3> <p>All dimensions are in inches,&nbsp;angles are in degrees.&nbsp; Please use decimals instead of fractions!&nbsp; Measurements are referenced from the Top of the Chaissis Rail, Outside of Chassis Rail (for outside mount), Inside of Chassis Rail (for Inside Mount), and Center of U-Joint.</p> <table style="border-collapse: collapse;" id="AutoNumber2" border="0" bordercolor="#111111" cellpadding="0" cellspacing="0" width="608"> <tbody> <tr> <td valign="top" width="38"><span class="required-field">*</span>A:</td> <td valign="top" width="69"><font face="Verdana"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" s-validation-constraint="Greater than" s-validation-value="0" --><input tabindex="7" size="5" name="A"></font></td> <td valign="top" width="42"><span class="required-field">*</span>Dv: </td> <td valign="top" width="63"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="13" size="5" name="DV"></td> <td valign="top" width="87"><span class="required-field">*</span>L1: </td> <td valign="top" width="73"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="18" size="5" name="L1"></td> <td valign="top" width="44"><span class="required-field">*</span>S1: </td> <td valign="top" width="66"><font face="Verdana"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="25" size="5" name="S1"></font></td> <td valign="top" width="46"><span class="required-field">*</span>DD: </td> <td valign="top" width="80"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="35" size="5" name="DD"></td> </tr> <tr> <td valign="top"><span class="required-field">*</span>E:</td> <td valign="top"><font face="Verdana"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" s-validation-constraint="Greater than" s-validation-value="0" --><input tabindex="8" size="5" name="E"></font></td> <td valign="top">Dc:</td> <td valign="top"><input tabindex="14" size="5" name="DC"></td> <td valign="top"><span class="required-field">*</span>L2:</td> <td valign="top"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="18" size="5" name="L2"></td> <td valign="top"><span class="required-field">*</span>S2:</td> <td valign="top"><font face="Verdana"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="26" size="5" name="S2"></font></td> <td valign="top"><span class="required-field">*</span>CC:&nbsp; </td> <td valign="top"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="36" size="5" name="CC"></td> </tr> <tr> <td valign="top"><font face="Verdana"><span class="required-field">*</span>F:</font> </td> <td valign="top"><font face="Verdana"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="9" size="5" name="F"></font></td> <td valign="top">Db: </td> <td valign="top"><input tabindex="15" size="5" name="DB"></td> <td valign="top">L3:</td> <td valign="top"><input tabindex="19" size="5" name="L3"></td> <td valign="top"><span class="required-field">*</span>S3:</td> <td valign="top"><font face="Verdana"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="27" size="5" name="S3"></font></td> <td></td> <td></td> </tr> <tr> <td valign="top"><span class="required-field">*</span>P1:</td> <td valign="top"><font face="Verdana"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="10" size="5" name="P1"></font></td> <td valign="top">Hc: </td> <td valign="top"><input tabindex="16" size="5" name="HC"></td> <td valign="top">L4:</td> <td valign="top"><input tabindex="20" size="5" name="L4"></td> <td valign="top"><span class="required-field">*</span>S4:</td> <td valign="top"><font face="Verdana"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="28" size="5" name="S4"></font></td> <td></td> <td></td> </tr> <tr> <td valign="top"><font face="Verdana">P2:</font></td> <td valign="top"><font face="Verdana"><input tabindex="11" size="5" name="P2"></font></td> <td valign="top"><span class="required-field">*</span>Hv: </td> <td valign="top"><!--webbot bot="Validation" s-data-type="String" b-value-required="TRUE" i-minimum-length="1" --><input tabindex="17" size="5" name="HV"></td> <td valign="top">L1_ANGLE:</td> <td valign="top"><input tabindex="21" size="5" name="LA1"></td> <td valign="top"><font face="Verdana">S5:</font></td> <td valign="top"><font face="Verdana"><input tabindex="29" size="5" name="S5"></font></td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td valign="top"><font face="Verdana">P3:</font></td> <td valign="top"><font face="Verdana"><input tabindex="12" size="5" name="P3"></font></td> <td>&nbsp;</td> <td>&nbsp;</td> <td valign="top">L2_ANGLE:</td> <td valign="top"><input tabindex="22" size="5" name="LA2"></td> <td valign="top"><font face="Verdana">S6: </font></td> <td valign="top"><font face="Verdana"><input tabindex="30" size="5" name="S6"></font></td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td></td> <td></td> <td></td> <td></td> <td valign="top">L3_ANGLE:</td> <td valign="top"><input tabindex="23" size="5" name="LA3"></td> <td valign="top"><font face="Verdana">S7:</font></td> <td valign="top"><font face="Verdana"><input tabindex="31" size="5" name="S7"></font></td> <td></td> <td></td> </tr> <tr> <td></td> <td></td> <td></td> <td></td> <td valign="top">L4_ANGLE:</td> <td valign="top"><input tabindex="24" size="5" name="LA4"></td> <td valign="top"><font face="Verdana">S8:</font></td> <td valign="top"><font face="Verdana"><input tabindex="32" size="5" name="S8"></font></td> <td></td> <td></td> </tr> <tr> <td></td> <td></td> <td></td> <td></td> <td></td> <td></td> <td valign="top"><font face="Verdana">S9:&nbsp; </font></td> <td valign="top"><font face="Verdana"><input tabindex="33" size="5" name="S9"></font></td> <td></td> <td></td> </tr> <tr> <td height="40">&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> <td valign="top"><font face="Verdana">S10: </font></td> <td valign="top"><font face="Verdana"><input tabindex="34" size="5" name="S10"></font></td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> </tbody> </table> <hr> <table border="0" width="562"> <tbody> <tr align="right"> <td colspan="3" align="center"> <h3><strong class="section-title">Chassis Information</strong></h3> </td> </tr> <tr> <td align="right" width="280"><span class="required-field">*</span> VIN (last 8)<br> <!--webbot bot="Validation" s-data-type="String" b-allow-letters="TRUE" b-allow-digits="TRUE" b-value-required="TRUE" i-minimum-length="8" i-maximum-length="20" --></td> <td width="13">&nbsp;</td> <td width="241"><input name="VIN" tabindex="37" size="25" maxlength="25"></td> </tr> <tr> <td align="right">Chassis Make/Model</td> <td>&nbsp;</td> <td><input tabindex="38" size="40" name="CHASSISMAKE"></td> </tr> <tr> <td align="right"><span class="required-field">*</span> Wheelbase<br> </td> <td>&nbsp;</td> <td><input tabindex="40" maxlength="5" size="10" name="WB"></td> </tr> <tr> <td align="right"><span class="required-field">*</span> Tires size<br> </td> <td>&nbsp;</td> <td><input tabindex="41" size="15" name="TIRESIZE"></td> </tr> <tr> <td align="right"><span class="required-field">*</span> GVW (vehicle w/o trailer)<br> </td> <td>&nbsp;</td> <td><input tabindex="42" maxlength="7" size="10" name="GVW"></td> </tr> <tr> <td align="right">GCW (vehicle w/trailer)<br> </td> <td>&nbsp;</td> <td><input tabindex="43" maxlength="7" size="10" name="GCW"></td> </tr> <tr> <td align="right">Mileage at installation<span class="section-title"> </span></td> <td>&nbsp;</td> <td><span class="section-title"> <input tabindex="44" maxlength="7" size="10" name="MILEAGE"> </span></td> </tr> <tr> <td align="right">Hours at installation<br> </td> <td>&nbsp;</td> <td><input tabindex="45" maxlength="7" size="10" name="HOURS"></td> </tr> <tr> <td align="right">Two Speed Axle?</td> <td>&nbsp;</td> <td> <select tabindex="46" name="Option_Two_Speed_Axle" id="Option_Two_Speed_Axle"> <option selected="selected">Please select... </option> <option>Yes</option> <option>No</option> </select> </td> </tr> <tr> <td align="right">Suspension Type</td> <td>&nbsp;</td> <td> <select tabindex="46" name="Option_Air_Suspension" id="Option_Air_Suspension"> <option selected="selected">Please select... </option> <option>Air </option> <option>Spring</option> </select> </td> </tr> <tr> <td align="right">Type of Brakes<br> </td> <td>&nbsp;</td> <td> <select tabindex="48" name="BRAKES"> <option selected="selected">Please select... </option> <option>Air </option> <option>Hydraulic</option> </select> </td> </tr> <tr> <td align="right">Main Use of Vehicle</td> <td>&nbsp;</td> <td> <select tabindex="49" name="MAINUSE"> <option selected="selected">Please select... </option> <option>Road </option> <option>Hills </option> <option>City </option> <option>Offroad</option> </select> </td> </tr> <tr> <td align="right">Application</td> <td>&nbsp;</td> <td><input tabindex="50" size="20" name="APPLICATION"></td> </tr> <tr> <td align="right">Body Installed?</td> <td>&nbsp;</td> <td> <select tabindex="51" name="Body_Installed" id="Body_Installed"> <option selected="selected">Please select... </option> <option>Yes - With Body</option> <option>No - Bare Chassis</option> </select> </td> </tr> <tr> <td>&nbsp; </td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td colspan="3" class="section-title" align="center"> <h3>Engine</h3> </td> </tr> <tr> <td align="right">Engine Make / Model</td> <td>&nbsp;</td> <td><input tabindex="51" size="40" name="ENGINEMAKE"></td> </tr> <tr> <td align="right">Engine configuration<br> </td> <td>&nbsp;</td> <td> <select tabindex="52" name="ENGINECONFIG"> <option selected="selected">Please select... </option> <option>Front Engine </option> <option>Mid Engine </option> <option>Rear Engine</option> </select> </td> </tr> <tr> <td align="right">Max Engine RPM<br> </td> <td>&nbsp;</td> <td><input tabindex="53" maxlength="5" size="10" name="MAX_RPM"></td> </tr> <tr> <td align="right">Max Engine Horsepower</td> <td>&nbsp;</td> <td><input tabindex="54" maxlength="5" size="10" name="HP" id="HP"></td> </tr> <tr> <td align="right">Max Engine Torque (LB-FT)<br> </td> <td>&nbsp;</td> <td><input tabindex="55" maxlength="5" size="10" name="TQ"></td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td colspan="3" class="section-title" align="center"> <h3>Transmission</h3> </td> </tr> <tr> <td align="right">Transmission Make / Model</td> <td>&nbsp;</td> <td><input tabindex="56" size="40" name="TRANS"></td> </tr> <tr> <td align="right">Torque Converter ratio<br> </td> <td>&nbsp;</td> <td><input tabindex="57" maxlength="5" size="5" name="TQCONVRATIO"> (#.##)</td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td colspan="3" class="section-title" align="center"> <h3>Driveline</h3> </td> </tr> <tr> <td align="right">Driveshaft U-joint series<br> </td> <td>&nbsp;</td> <td><input tabindex="58" size="15" name="DRIVESHAFTSERIES"></td> </tr> <tr> <td align="right">Tube Diameter<br> </td> <td>&nbsp;</td> <td><input tabindex="59" maxlength="5" size="5" name="TUBEDIAMETER"></td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td colspan="3" class="section-title" align="center"> <h3>Rear Drive Axle</h3> </td> </tr> <tr> <td align="right">Drive Axle Make / Model<br> </td> <td>&nbsp;</td> <td><input tabindex="60" size="40" name="AXLEMAKE"></td> </tr> <tr> <td align="right"><span class="required-field">* </span>Axle Ratio<br> </td> <td>&nbsp;</td> <td><input tabindex="61" maxlength="5" size="10" name="AXLERATIO"> (#.##)</td> </tr> <tr> <td align="right">Drive configuration<br> </td> <td>&nbsp;</td> <td> <select tabindex="62" name="DRIVECONFIG"> <option selected="selected">Please select... </option> <option>4 X 2 </option> <option>6 X 4 </option> <option>4 X 4 </option> <option>6 X 6 </option> <option>6 X 2 TAG</option> </select> </td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr> <td colspan="3" class="section-title" align="center"> <h3>Electrical System</h3> </td> </tr> <tr> <td align="right">Alternator Voltage and amperage<br> </td> <td>&nbsp;</td> <td><input tabindex="63" size="20" name="ALTERNATORSPEC"></td> </tr> <tr> <td align="right">Number of Batteries and Group Size<br> </td> <td>&nbsp;</td> <td><input tabindex="64" maxlength="10" size="10" name="BATTERYSPECS"></td> </tr> <tr> <td align="right">ABS Equipped?</td> <td>&nbsp;</td> <td> <select tabindex="65" name="ABS" id="ABS"> <option selected="selected">Please select... </option> <option>Yes</option> <option>No ABS</option> </select> </td> </tr> <tr> <td align="right">ABS Make / Model<br> </td> <td>&nbsp;</td> <td><input tabindex="66" size="20" name="ABSMODEL"></td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr align="right"> <td colspan="3" class="section-title" align="center"> <h3>Installed Telma Information</h3> </td> </tr> <tr> <td align="right"><span class="required-field">*</span> Telma Part Number<br> (2 letters 6 numbers)</td> <td>&nbsp;</td> <td><!--webbot bot="Validation" s-data-type="String" b-allow-letters="TRUE" b-allow-digits="TRUE" b-value-required="TRUE" i-minimum-length="8" i-maximum-length="8" --> <input tabindex="67" maxlength="8" size="25" name="TELMA_Installed_Part_Number"></td> </tr> <tr> <td align="right"><span class="required-field">*</span> Serial Number<br> (6 or 9 numbers) </td> <td>&nbsp;</td> <td><!--webbot bot="Validation" s-data-type="Integer" s-number-separators="x" b-value-required="TRUE" i-minimum-length="6" i-maximum-length="9" s-validation-constraint="Greater than" s-validation-value="200000" --> <input tabindex="68" maxlength="9" size="25" name="TELMA_Installed_SerialNumber"></td> </tr> <tr> <td align="right"><span class="required-field">*</span> Installed Kit Number (TIK#####)</td> <td>&nbsp;</td> <td> <input name="TELMA_Installed_Kit" tabindex="69" size="25" maxlength="8" type="text"></td> </tr> <tr> <td align="right">Telma is being installed with</td> <td>&nbsp;</td> <td> <select name="TELMA_Installed_Brackets"> <option selected="selected">Please Select...</option> <option value="OUTSIDE-MOUNT">Outside Mount Brackets</option> <option value="INSIDE-MOUNT">Inside Mount Brackets</option> </select> </td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr align="right"> <td colspan="3" align="center"> <h3 class="section-title">Customer Information (End User)</h3> </td> </tr> <tr> <td align="right"><span class="required-field">* </span>Customer<br> <!--webbot bot="Validation" s-data-type="String" b-allow-letters="TRUE" b-allow-digits="TRUE" b-allow-whitespace="TRUE" b-value-required="TRUE" i-minimum-length="2" --></td> <td>&nbsp;</td> <td><input tabindex="70" size="40" name="CUSTOMER"></td> </tr> <tr> <td align="right">City / State</td> <td>&nbsp;</td> <td><input tabindex="71" size="40" name="CUSTOMER_CITY_STATE"></td> </tr> <tr> <td>&nbsp;</td> <td>&nbsp;</td> <td>&nbsp;</td> </tr> <tr align="right"> <td colspan="3" class="section-title" align="center"> <h3>Installer Information (Telma Dealer)</h3> </td> </tr> <tr> <td align="right"> <p style="margin-top: 0px; margin-bottom: 0px;"><span class="required-field">* </span> Company Name </p> </td> <td>&nbsp;</td> <td><span style="margin-top: 0px; margin-bottom: 0px;"> <input name="INSTALLER_NAME" tabindex="72" size="40"> </span></td> </tr> <tr> <td align="right">City / State</td> <td>&nbsp;</td> <td><input tabindex="73" size="40" name="INSTALLER_CITY_STATE"></td> </tr> <tr> <td align="right"> <p><span class="required-field">* </span>Phone Number</p> </td> <td>&nbsp;</td> <td><input tabindex="74" name="PHONE_NUMBER"></td> </tr> <tr> <td align="right"><span class="required-field">* </span> Email Address</td> <td>&nbsp;</td> <td><input tabindex="75" size="40" name="EMAILADDRESS"></td> </tr> <tr> <td align="right"><span class="required-field">*</span> Contact Name</td> <td>&nbsp;</td> <td><input tabindex="76" size="40" name="INSTALLER_CONTACT_NAME"></td> </tr> </tbody> </table> <h3 class="section-title">Notes/Comments:</h3> <p><textarea rows="5" cols="60" name="commentsNotes"></textarea>&nbsp;</p> <p>Please verify your information above and click&nbsp;Submit Form below to submit your drawing request.<br> You will be directed to a Form Confirmation page, please print the Confirmation Page for your records.&nbsp;&nbsp;&nbsp;</p> <p><small style="font-weight: bold; font-style: italic;">NOTE: If your using Internet Explorer to view this form, you will need Version 8 or higher to submit this form.</small></p> <input value="Submit Form" type="submit"> <input value="Reset Form" type="reset"> </form> <hr> <h5><br> Copyright &copy; 2010 Telma Retarder Incorporated. All rights reserved.<br> <a href="www.telmausa.com">www.TelmaUSA.com </a></h5> </body> </html>