YES!

I WOULD TRY ELTRA’S PUSHER-TRAILER TECHNOLOGY if it means saving 5 cents per mile traveled by my vehicle fleet!

There is no obligation.

By filling out this form, you are helping attract investors for the development of this technology.

This data will be used solely for the purpose of demonstrating there is a market for this product. The data will be shared only in aggregate and your identifying data will be kept confidential and will not be shared outside the company.

If you want to learn more, email us at info@eltra-t.com right now!

Name

First Name

Last Name

Phone Number

(###)

###

####

My Position / Job

Ex: Electrician, Owner, Mechanic

Company Where I Work

I work with this number of Light Vans and Trucks

Average Miles Per Week

Average miles traveled per week (per vehicle)

Pusher Trailer?

Yes -- I see how a pusher-trailer can help me or my organization save money

No -- I would not use a pusher-trailer even if it saves me or my company money.

I'm worried about

Liability; Safety; Hassle; It Doesn't Work; Other [Fill in]

(Optional) I would like to help bring this technology to market. I am willing to be interviewed and I have entered my contact information above.

Sure!

No Thanks

(Optional) I would be interested in participating in ELTRA beta- and pre-market testing.

Maybe

Probably Not

(Very Optional) I would like to make a nonrefundable reservation deposit of $5 or $20!

$20