Name
              
                * 
              
             
          
                
                
                  
                    First Name 
                   
                
                
                  
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Address
              
                * 
              
             
          
                
                
                  
                    Address 1 
                   
                
                
                  
                    Address 2 
                   
                
                
                  
                    City 
                   
                
                
                  
                    State/Province 
                   
                
                
                  
                    Zip/Postal Code 
                   
                
                
                  
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
                * 
              
             
          
                
                
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Phone
              
                * 
              
             
          
                
                
                
                  
                    (###) 
                   
                
                
                  
                    ### 
                   
                
                
                  
                    #### 
                   
                
               
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Preferred contact method
              
                * 
              
             
          
                
                
                
                  
                    Phone 
                  
                    Email 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              What's your anticipated project completion date?
              
                * 
              
             
          
                Please note that builds generally take 12-16 weeks to complete once the design phase is completed.
                
                  
                    MM 
                   
                
                
                  
                    DD 
                   
                
                
                  
                    YYYY 
                   
                
               
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              How will you use your van?
              
                * 
              
             
          
                Tell us briefly what you will do in your conversion and how you will use it.
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Tell us about yourself
              
             
          
                We love to understand and get to know our clients, and part of the Nirvana Upfitters philosophy is to integrate your lifestyle into the design to maximize form, feel, and functionality. These are intimate living spaces and the best way to ensure ultimate satisfaction is to get to know you!
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              What do you do for a living?
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Describe your dream van trip!
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you currently have a van?
              
             
          
                
                
                
                  
                    Yes 
                  
                    No 
                  
                    Waiting on dealership to take delivery 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you need assistance identifying your van?
              
             
          
                
                
                
                  
                    Yes 
                  
                    No 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Van wheel base
              
             
          
                
                
                
                  
                    Sprinter 144 
                  
                    Sprinter 170 
                  
                    Sprinter 170 Ext. 
                  
                    Transit 130 
                  
                    Transit 148 
                  
                    Transit 148 Ext. 
                  
                    Promaster 136 
                  
                    Promaster 159 
                  
                    Promaster 159 Ext. 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Van roof height
              
             
          
                
                
                
                  
                    High 
                  
                    Mid (Ford Transit only) 
                  
                    Low 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Flooring
              
             
          
                
                
                
                  
                    Vinyl coin 
                  
                    Vinyl plank (wood look) 
                  
                    Bamboo 
                  
                    Other 
                  
                    None 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Walls
              
             
          
                
                
                
                  
                    Wooden 
                  
                    Upholstered 
                  
                    Laminate 
                  
                    Other 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Sleeping capacity
              
             
          
                
                
                
                  
                    0 
                  
                    1 
                  
                    2 
                  
                    3 
                  
                    4 
                  
                    Other 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Sleeping areas
              
             
          
                
                
                
                  
                    0 
                  
                    1 
                  
                    2 
                  
                    3 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Bed systems
              
             
          
                
                
                
                  
                    Fixed platform 
                  
                    Murphy bed 
                  
                    Modular bed with benches and table 
                  
                    Pop-top 
                  
                    Bunks 
                  
                    None 
                  
                    Other (please note preference at the end) 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Bed sleeping arrangement
              
             
          
                
                
                
                  
                    Bumper to bumper 
                  
                    Wheel to wheel 
                  
                    None 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Mattresses included?
              
             
          
                
                
                
                  
                    Yes 
                  
                    No 
                  
                    Other (please note preference at the end) 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Heat system
              
             
          
                
                
                
                  
                    Air heater (gas or diesel) 
                  
                    Hydronic heater (gas or diesel) 
                  
                    None 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Ventilation
              
             
          
                Limitations exist based on roof top space availability. Air Conditioning may require additional power considerations to achieve off-grid usage.
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Cabinetry
              
             
          
                A kitchenette is required for a sink.
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Table system
              
             
          
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Gray water storage
              
             
          
                
                
                
                  
                    Removable (under sink) 
                  
                    Fixed (under vehicle) 
                  
                    None 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Cooking
              
             
          
                Diesel cooking options require diesel vehicles at this time. Induction cooktop and microwaves may require additional power considerations.
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Lighting
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Shower
              
             
          
                
                
                
                  
                    Outside (off the rear doors) 
                  
                    Inside 
                  
                    None 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Toilet
              
             
          
                
                
                
                  
                    Composting 
                  
                    Cassette 
                  
                    None 
                  
                   
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Electrical system upgrades
              
             
          
                All of our custom builds utilize a dedicated lithium house battery bank supported by a robust 3-way charging system comprised of shore power, solar, and vehicle charging. Actual system will be determined by your estimated usage during design phase.
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Windows
              
             
          
                All windows are privacy windows.
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Comfort and convenience options
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Performance conversion options
              
             
          
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Plug-in electrical items
              
             
          
                Please list any plug-in electrical items you would like to use while in your Van (e.g. iPhone, laptop, crock-pot, etc.)
                
               
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Tell us more
              
             
          
                Please let us know any specific needs, items, or design elements you would like integrated not identified above. Being custom builders, we love unique elements and special designs!