CONVERTER APPLICATION FORM
Engine:
Size: ci      Compression Ratio: to 1
Dyno Tested:            Yes    No
Peak HP:                    to RPM
Approx Tork:              ft.lbs. at RPM
Cam Specs:       (intake)      Lift Duration
                     (exhaust)      Lift Duration @ .050:
Specified Cam RPM (power) Range to
Carb Setup:                Size:                 Qty: 1 or 2 carbs
Alco/Gas:                  Other Intake:
Nitrous Oxide: No or Yes     Added HP: 1st Stage
                                                                          2nd Stage
Manifold: cast      sheet metal      Other
Type of 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
Midplate Thickness: in.
Operation:
Starting Line RPM:         Shift Point RPM:
Class:         Track Length:
Customer:
Name:         Phone:
Address: