TEST FORM

Company Name

Your Name*

Your Email Address*

Your Phone Number*

Your Address*

Your City*

Your State*

Your Zip*

Your Country*

Shipping Address

Shipping City

Shipping State

Shipping Zip

Shipping Country

Vehicle Year*

Vehicle Make*

Vehicle Model

Vehicle Weight* (in pounds)

Rear Axle Ratio*

Tire Type*
—Please choose an option—StreetDrag RadialSlickOther

Tire Height

Tire Width

Vehicle Use*
—Please choose an option—Drag Racing ONLYDrag Racing with limited StreetStreet with limited Drag RacingStreet ONLYShow ONLYOther

Racing Class

Sanctioning Body

Altitude

Type*

Brand

Transbrake*
YesNo

Input Spline*
—Please choose an option—1724262729303135

Flexplate Size*
—Please choose an option—153TGM157TFORD164TFORD168TGMOther

Bolt Pattern Dia.

1st Gear Ratio

Midplate
YesNo

[group midplate-thickness]Thickness
—Please choose an option—0.0900.1250.250OtherNot Applicable[/group]

Engine Size (CID)*

Built By

Fuel Type

Fuel Delivery Method
InjectionCarburetor

CFM

Camshaft

Minimum RPM*

Maximum RPM*

Shift RPM*

Compression Ratio (ex: 9.5:1)

Intake Manifold Material
—Please choose an option—CastSheet MetalCompositeOther

Nitrous Oxide?*
YesNo

[group nitrous-stage1]1st Stage
[/group]

[group nitrous-stage2]2nd Stage
[/group]

[group nitrous-stage3]3rd Stage
[/group]

Turbocharged?*
YesNo

[group turbo-comp]Compressor Wheel Size
[/group]

[group turbo-exhaust]Exhaust Wheel Size
[/group]

[group turbo-psi]Boost (in PSI)
[/group]

Supercharged?*
YesNo

[group blower-type]Type
[/group]

[group blower-size]Size
[/group]

[group blower-psi]Boost (in PSI)
[/group]

Data Logging?
—Please choose an option—NoRacePakAutometerAutometer Dual TechOther

Dyno Tested?
—Please choose an option—NoWheel HorsepowerEngine Dyno

Peak Horsepower*

@ RPM*

Peak Torque*

@ RPM*

Race Distance (select all that apply)
1/4 Mile1/8 MileStanding MileOther

[group race-et]Elapsed Time
[/group]

[group race-mph]MPH
[/group]

[group race-sixty]60-FT
[/group]

[group race-slip]% of Converter Slip
[/group]

Current Torque Converter

Size

Brand

Stall

Part # (ProTorque only)

Serial # (ProTorque only)

Date Built (ProTorque only)

Desired Stall*

Additional Comments