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CAR INFORMATION FORM

This information will help us understand your combination and your intended application. Print out and mail this form to us, please fill out as much data as possible. All information is kept strictly confidential.

Send to: Gessler Head Porting
25 Four Corners Road
Blairstown, NJ 07825

Name:____________________________________________________
Address:__________________________________________________
_________________________________________________________
City:_____________________State:_________Zip:________________
Phone:___________________________Best time to call:____________
Email:_____________________________________________________

Car make, model and year:_____________________________________
Engine size:___________________Comp. ratio:____________________
Bore size:____________________ Stroke:________________________
Camshaft type: (Hydraulic / Solid / Hydraulic Roller / Solid Roller)
Camshaft duration @ .050"_____________________________________
Camshaft Lift:_________________ Lobe separation:_________________
Rocker Arm Style:_________________________ Ratio:______________

Cylinder Heads:_____________________________________________
Head gasket, brand & thickness :________________________________
Intake Manifold:_____________________ Carb:___________________
Headers/Manifolds:___________________________________________
Diameter of exhaust system if applicable:___________________________

Car weight, race ready:_______________________________________
Trans type:_________________Torque converter stall speed:__________
Rear gear ratio:_________________Rear tire diameter:_______________
Shift RPM:_________________ RPM thru 1/4 mile traps:_____________
Application: (Street / Street-Strip / Race) Race class:________________
Average ET & MPH:_________________________________________
Projected goal ET & MPH:_____________________________________
Other:_____________________________________________________
__________________________________________________________
__________________________________________________________
__________________________________________________________
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We look forward to helping you get to the finish line first!

Copyright © 2003-2010  Gessler Head Porting, LLC. All Rights Reserved


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