Thank you for your order, we will use the following information to complete the build:

1. Current Vehicle: CurrentYear

Make:CurrentMake

Model: CurrentModel

  Current Engine Size:CurrentEngineSize
  Transmission Type:CurrentTransmissionStyle Fuel System Type: CurrentFuelSystem
  Current Vehicle Accessories:CurrentVehicleAccessories   CurrentAlternator
 

Other Notes / Comments on existing Setup:

CurrentVehicleComments


INFORMATION ON YOUR NEW ENGINE ORDER

2.

Engine Horsepower and Fuel System Type Ordered:

SelectedEngineHPFuelSystem  NewEngine

  Transmission Type:NewEngineTransmissionType
 

Engine Block Color Preference: NewEngineBlockColor

 

Ignition Wire Color Choice:NewIgnitionWireColorChoice

Oil Pan Type: OilPanType
Water Pump Inlet Type: WaterPumpInletType
 

Other Notes or Comments on your New Order: ie. Oil Pan Type, ect.

NewEngineComments


3. Optional Upgrades / Bolt-Ons

Billet Aluminum Polished Pulleys w/Accessories (Cobra Kit Engine Packages already Include Pulleys)

OPTION


4. Polished Components

NewEnginePolishedComponents


5. Extras
 

NewEngineExtras


6. Contact Information Shipping Details (If Different)
 

ContactInfoName

ContactInfoAddress

ContactInfoCity

ContactInfoState

ContactInfoZip

ContactInfoCountry

Hm. Phone:ContactInfoHmPhone

Wk. Phone:ContactInfoWkPhone

E-Mail:ContactInfoEmail

 

Ship_To

 

ShippingInfoName

ShippingInfoAddress

ShippingInfoCity

ShippingInfoState

ShippingInfoState

ShippingInfoZip

Hm. Phone:ShippingInfoHmPhone

Wk. Phone:ShippingInfoWkPhone

E-Mail:ShippingInfoEmail

 


  OrderAgreement

 

Electronic Agreement Signature

ElectronicSignature

 

This is a custom order, no further changes or modifications without written request.
Price Price
Upgrade Upgrade
Freight Charge Freight
Total Charge TOTAL
Payment Method CreditCardType
Name as it appears on card NameOnCard
Credit Card Number CCNumber
3 Digit Security # SecurityCode
Exp. Date

ExpMonth / ExpYear

 (DD/YYYY)

Billing Zip Code BillingZipCode
Deposit (50%) Deposit
Balance Due Upon Completion BalanceDue

Expected Deliver Date.

(Normally 4-6 Wks, Our Site Rep's Will Confirm This)

ExpectedDeliveryDate

SALES REP:

SalesRep

 

ORDER DATE:

OrderDate