Contact FB Performance





 

Converter Application Form
Please provide the following information so that we may assist you with your converter application. Fill this form out to the best of your ability. If you have any problems please feel free to contact us:

Phone: (800)769-1118 if you live OUTSIDE of NY

Phone: (631) 242-0008
Fax:    (631) 243-3054

This application is divided into 5 sections. The first page asks for all your personal information. The areas with RED text are REQUIRED to be filled in.

Due to the length of this application, if you don't have time to fill this out to its entirety we also provide a FAX VERSION.  If you desire to use the fax version, please download a copy, then print it out, and fax it to us.

 

PERSONAL INFORMATION
First Name
Last Name
Address

City
State
Zip
 –
Phone
Fax
E-mail
VEHICLE INFORMATION
Vehicle Type
Weight (w/driver)
 lbs.
Rear Axle Ratio
Tire Size
 dia.   X   width
Mid Plate
 Yes No
Thickness in.
Mid Plate Adapter
 Yes No
Shifter Type
 Exit Cable
ENGINE INFORMATION
Size
 cu in.
Comp. Ratio
 to 1
Dyno Tested Yes No
Peak HP
 at RPM
Approx. Torque
 ft. lbs. at RPM
Cam Specs. @ .050
 Lift Duration
(Intake)
Lift Duration
(Exhaust)
Cam RPM
(power range)		 to
Carb Setup
cfm   Qty:  
Other Intake
Supercharged  Turbo Charged  Neither
Cylinder Head Type
Intake Manifold
 Cast Sheet Metal
Other
Nitrous Oxide
Yes No
1st Stage  2nd StageAdded HP 
TRANSMISSION INFORMATION
Type
1st Gear Ratio
Input Spline
Trans-Brake YES     NO
Flexplate Size # of teeth  dia.
Bolt Hole dia in.
OPERATIONAL INFORMATION
Starting Line RPM
Shift Point RPM
Additional Comments

 

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