Personal Information

*First Name 
*Last Name 
*Address 
*City 
*State 
*Zip Code 
*Phone 
*Fax 
*Email  

Vehicle Information

*Vehicle Type 
*Weight (w/driver) 
*Rear Axle Ratio 
*Tire Size Diameter 
*Width 
*Mid Plate*Thickness (In.) 
*Mid Plate Adapter
*Shift Type 
*Exit Cable

Engine Information

*Size (Cu. In) 
*Comp. Ratio ( To 1) 
*Dyno Tested
*Peak HP ( at RPM) 
*Approx. Torque ( Ft. Lbs. at RPM) 
*Cam Specs. @ .050 - Lift (Intake) 
*Duration 
*Lift (Exhaust) 
*Duration 
*Cam RPM (Power Range) 
*to 
*Carb Setup (cfm) 
*Qty:
*Other Intake

*Cylinder Head (Type) 
*Intake Manifold

*Nitrous Oxide
*1st Stage 
*2nd Stage (Added HP) 

Transmission Information

*Type 
*1st Gear Ratio 
*Input Spline 
*Trans-Brake
*Flexplate Size (# of Teeth) 
*Diameter 
*Bolt Hole dia. 

Operational Information

*Starting Line RPM 
*Shift Point RPM 
Additional Comments
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