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Type of Racing: Street Performance______ Drag______ Circle Track_____ Off Road_____
                      Marine_____ Mud Drags_____ Sand Drags______

Engine:            Size: _____ ci.  Compression Ratio:________ to 1. Dyno Tested: Yes____ No____

                      Peak HP:________ to ________RPM Approx. Torque:________ ft. lbs. at ________RPM

                      Cam Specs:  (Intake)     Lift________ Duration________

                      @.050:        (Exhaust)   Lift________ Duration________

                      Specified Cam RPM (Power) Range __________ to_________

                      Carb. Setup:  Size: ________Cfm   Qty: 1 _____ or 2________ Alco/Gas: ____________

                      Nitrous: _____No _____ Yes  Added HP: 1st stage _____ 2nd stage________

                      Blower _____ Yes _____No    Make: ______________________ Size: __________

                      Manifold: ______ Cast  _______ Sheet Metal  _______ Other
                      Type Cylinder Heads: _________________________________________________

Trans:             Type:____________________ 1st gear ratio: __________ Input spline: _________

                      Trans-brake: ____ Yes ____ No  Flexplate Size: ______ # teeth/dia. Bolt hole Dia. ____ in.

Vehicle:           Type: _________________________________________Weight (w/driver):__________lbs.

                      Rear axle ratio:___________ Tire size: ______ Dia. X ________ Width

                      Shifter Type:_________________ Mid-plate: _____ No ______ Yes Thickness: _________ in.

Operation:       Starting line RPM: ________________ Shift point RPM: ______________

                      Class:_________________________________________ Track length: ______________

Recommendation: _________________________________________________________________________

 A 50% DEPOSIT IS REQUIRED ON ALL ORDERS. IF WE DO NOT RECEIVE A DEPOSIT AT THE
        TIME WE RECEIVE THIS FAX THE ORDER WILL BE PUT ON HOLD! 
Form of payment:  Type of card:   M/C_____ VISA _____ DISCOVER ________

Credit card # _______-______-______-_______ Exp. Date __________

Customer Information:  Name: ______________________________________Phone# __________________

Address: _________________________________________________________________________________

City: _______________________________________________ State _______ Zip code _________________