Custom Upfit Form - Dejana Truck & Utility Equipment

Step 1 of 3 – General Information

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General Information

Sales Person:(Required)

Name of Bidder/ Municipality/ Company:(Required)

Bid Number/ Bid Title/ Upfit Description:(Required)

Often times, there are multiple specs this form would confirm what project we are working on.

Form Type:(Required)

Bid

Quote

Budgetary Estimate

Body Type/ Model & Upfit Specifications (be specific)(Required)

Additional Equipment(Required)

Air Compressor

Crane

Inverter

None

Please upload a completed questionnaire in the Additional Specs & Documentation section below.

Performance Obligation(Required)

None

Extended Warranty

Ongoing Maintenance

Training

Performance Obligation details (Please explain)(Required)

Quantity of Units

Additional Specs & Documentation

Drop files here or

Accepted file types: jpg, png, gif, pdf, doc, docx, ppt, , Max. file size: 50 MB.

Delivery:(Required)

Dejana Delivery

Customer Pickup

Other

Delivery:

Customer Pickup Location:

Deadlines & Dates

Bid Deadline/ Quote Due Date:(Required)

Month

Day

Year

Chassis Delivery Date (if known):

Month

Day

Year

Requested Completed Vehicle Delivery Date (if applicable):

Month

Day

Year

Our old goal used to be 2 weeks from submission to completion.

This will help for scheduling purposes.

Chassis Information

All information in the section is critical. Basic applications and specifications are verified with this data.

Additions to the job such as compressors can hinder the process if the incorrect chassis information is entered, especially if the estimator is unfamiliar with the product.

ie. 4×4’s require different PTOs and underdecks which have limitations over 4×2’s.

Vehicle Type:(Required)

Chassis Cab

Cutaway

Hub Drive, Tandem Reel Loader

Pickup

Van

Other Vehicle

Trailer

Chassis Source:(Required)

Dealer Stock

Drop Ship

End User

Pool Chassis

Required when opening the jobs for timing.
if it is our truck we can attach the invoice to the quote.

Vehicle Year:(Required)

Vehicle Year:

Make (if flexible select all that apply):(Required)

Chevrolet

Ford

Freightliner

GMC

Isuzu

International

Mercedes

Nissan

Peterbilt

Ram

Other

Other Vehicle Make:

Model:(Required)

Engine Type:(Required)

Chassis Cab Type:(Required)

Cab Type:

Pickup Bed Size

Van Type:(Required)

Cargo

Van

Roof Height:(Required)

Low

Medium

High

Glass Option:(Required)

No Glass

Rear Glass

Side Glass

Rear & Side Glass

Choose:(Required)

4×2

4×4

Choose:(Required)

4×2

4×4

Choose:(Required)

SRW

DRW

Choose:(Required)

SRW

DRW

Choose:(Required)

Single Axle

Tandem Axle

Wheelbase:

CA:

GVWR:(Required)

Front GAWR

Rear GAWR

Backup Camera (required if vehicle is <10,000 GVW)(Required)

Install OEM Provided Camera

Relocate OEM Installed Camera

Dejana Provided Camera Installed

Not Applicable/ No Action Needed

VIN #:

Factory Order #:

Tire Size:

Alternator Output

Number of Fuel Tanks:

Fuel Tank Location:

Bill To Information

Bill To Information(Required)

Bill To Single Dealership/ Company

Bid To Multiple Dealerships

Company/ Dealership Name(Required)

Dealer Code:

Bill To Address:(Required)

Street Address City State ZIP Code

Many times the end user, ship to and bill to are different.
When The orders are opened, it is required for proper billing and delivery.
EX:
UGI is the customer, however only the end user, ARI pays us, and we ship to any multitude of locations, you don’t know who they are going to.

Infrasource the end user is paid by Element, but always shipped to D&D services.

National Auto fleet is always the bill to, the municipality is the ship to and the end user, and NAFG must have PDI to every quote.

Business Phone:

Business Fax:

Contact Name:(Required)

First Last

Cell:

Email(Required)

Dealer 1

Dealership 1 Name(Required)

Contact Name(Required)

First Last

Email(Required)

(Required)

City State / Province / Region

Dealer 2

Dealership 2 Name(Required)

Contact Name(Required)

First Last

Email(Required)

(Required)

City State / Province / Region

Dealer 3

Dealership 3 Name

Contact Name

First Last

City State / Province / Region

Dealer 4

Dealership 4 Name

Contact Name

First Last

City State / Province / Region

Dealer 5

Dealership 5 Name

Contact Name

First Last

City State / Province / Region

Tax Information(Required)

Taxable

Tax Exempt

Ship To Information

Ship To Address:(Required)

Same as Bill To

Different than Bill To

Multiple Ship To Locations (details to be provided)

Company/ Dealership Name

Dealer Code:

Ship To Address:

Street Address City State ZIP Code

Business Phone:

Business Fax:

Contact Name:

First Last

Cell:

End User Information

Type of Business:

End User

Same as Bill To

Same as Ship To

Other

End User Company Name:

End User Address:

Street Address City State ZIP Code

End User Phone:

End User Fax:

End User Contact:

First Last

Cell: