Request Form

Complete the form to the best of your ability
A member from our team of technicians will give you a call
describing the torque converter we can supply for your specific application.


	Torque Converter Application Form

	Your Name:
	Contact Phone Number:
	Email Address :
	Transmission Information

	Type of Trans:	Series Trans:
	Make of Trans:	Year of Trans:

	Vehicle Information

	Make of Car:	Model of Car:
	Year of Car:	Engine Size:
	Over Bore:	RPM @ Shift Point:
	Motor Plate Thickness:	Weight of Car:
	Rear End Ratio:	Tire Size:
	Tire Width:	Tire Height:
	Camshaft:	Camshaft Duration:
	Camshaft Lift:	Camshaft Centerline:
	Carburator CFM:	Intake Manifold:
	Suprecharged? yes no
	Do You Run Nitrous? yes no

	Altitude of Race Track:	Class:
	Length of Race Track:
	1/8 mi. 1/4 mi. Other

	What Converter Are You Now Using?
	What Stall?	Converter Size?
	What Transmission Are You Now Using?
	What Low Gear?
	Is Car Equiped With A Trans-Brake?
	Full or Pro-Tree?

	Post Additional Message Here :

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