Converter Application Form

	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 2 carbs
	Alco/Gas: Other intake:
	Nitrous Oxide: Yes No Added HP: 1st stage 2nd stage
	Manifold: Cast Sheet Metal Other
	Type Cylinder Heads:
	Transmission
	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: Yes No
	Thickness: in.
	Operations
	Starting Line RPM: Shift Point RPM:
	Class: Track Length:
	Contact Information
	Name: Phone # E-mail:
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Engine