Clone of Pre-Order Battery Form

BATTERY ORDER FORM

In this form, you will find the fastest way to place your Lithium-Battery order. Just fill in the information below and our experts will build your customized battery.Please note that the shipping time for this battery is approximately 4 to 5 weeks.
Full Name*

First NameMiddle NameLast Name
Contact Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Order Date & Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
SPECIFICATIONS
Voltage*
Amperage*
Motor Size (Watts)*
Battery Type*
Cell Type*
Type of Charging Connectors*
Type of Discharging Connectors*
Quantity*
CASE REQUIRED?
Select *

YesNo
If you dont require a case, you will receive you battery pack wrapped with PVC
If YES, tell us the type:
CASE TYPE
Please upload pictures of your product and our experts will do the best to source it.
File Upload

Cancelof
MEASUREMENTS
Available Length (in)
Available Width (in)
Available Heigth (in)
CHARGER REQUIRED?

YesNo
UPLOAD PICTURES

Please provide us with some pictures of your current battery, so we have a better idea of what exactly youll need.
File Upload

Cancelof
Please provide us with some pictures of your current battery, so we have a better idea of what exactly youll need.
Should be Empty:

SPECIFICATIONS