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Hughes Performance Tech Card and Customer Information

Contact Information First Name: Last Name: Email:     Address: Apt/Office #:   Residential Office   City: State: Zip: Country: Telephone Home: Daytime: Fax:     Racing Information Racing Type: Class: Vehicle Type: Year: Engine & Transmission Information C.I.: Bore: Stroke:     Supercharged:     Nitrous Oxide:       How Much How Many Stages Turbo Charged:     Boost: Single Twin Heads: Manifold: Carburetor:     Cam: Hydraulic Flat tappet Roller Centerline Valve Lift Duration @ .050 Vehicle Wt.* *Including Driver Rear End Gear Ratio: Transmission Type: Year: Lockup: Yes No Input Spline Count: Low Gear Ratio: Tire Size:     Auto Shift Full Manual Transbrake Other: Converter Size: 7" 8" 9" 10" 11" 12" 13"   Desired Stall Ratio:     Motor Plate: STD 1/8" 1/4" Other: Input Spline Count: PowerGlide Turbo Questions or Comments?