Perry Aviation Refuelers will build a refueler to your specifications. Use this handy form to design the refueler that meets your specific needs. We will use this information to provide a quotation. Your RFQ Tracking Number is 20245622015. Please keep this number for future reference. GENERAL Type of Fuel: Select Avgas Jet Fuel Layout: Select Rear Mounted Module Center Mounted Module Side Mounted Cabinets CHASSIS Select New Used: 1985-1990 Used: 1991-present Preferred Manufacturer: Select Ford GMC International Other (Please Specify Below) Engine: Select Diesel Gasoline No Preference Transmission: Select Automatic Manual No Preference Special Chassis Requirements (Please Specify): PUMPING SYSTEM Tank Type: Select Stainless Steel Aluminum Epoxy Steel Tank Size: Select 500 Gallons 750 Gallons 1200 Gallons 2200 Gallons 3000 Gallons 5000 Gallons Other (Please Specify Below) Pumping Rate: Select 20 GPM 40 GPM 60 GPM 100 GPM 200 GPM 300 GPM Other (Please Specify Below) Reels: Select All New Refurbished Hoses: Select One Overwing Two Overwing One Overwing, One Underwing Two Overwing, One Underwing Two Underwing Other (Please Specify Below) Meters: Select All New Rebuilt Nozzles: Select All New Rebuilt Do You Require...     Bottom Loading with High Level Shutoff? Yes    No     Defuel with Overfill Protection? Yes    No     Additive Injector System? Yes    No     Special Paint Requirements? Yes    No     Special Decals? Yes    No Your Fuel Supplier: Select Avfuel Air BP Chevron Exxon Phillips Texaco Other (Please Specify Below) Please Specify Any Special Requirements Below: CONTACT INFO Name: Company: Phone: Fax: Address #1: Address #2: City: State: Zip: E-mail: (Or "NONE")