Billing Address
Name:
Address:
Address (Line 2):
City:
State:
—Please choose an option—AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDCDelawareFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Zip:
Phone 1:
Phone 2:
Shipping Address
Phone:
Fax:
Email:
I’d Like a Quote For
Select:
TransmissionConverterFlexplateUltra-Bell
Use of Vehicle
Street Percentage:
%
Track Percentage:
Track Type:
—Please choose an option—Circle TrackSand DragMud BogMud RacePro StreetBracket RacingIndex Racing1/8 Mile and 1/4 Mile1/4 Mile1/8 MileOther
Vehicle Information
Year/Make/Model:
Weight w/Driver:
lbs
Altitude:
ft
Transmission Information
Type of Transmission:
—Please choose an option—PowerglideTH350TH400700R4 Lockup700R4 Non-Lockup200-4R4L60E4L80EC4C6AOD LockupAOD Non-LockupTF727TF904Other
Shift Type:
—Please choose an option—Trans-BrakeManual/Foot BrakeAutoshift
Input Shaft Spline Type:
—Please choose an option—GM Turbo 30 SplineGM OEM Powerglide 17 SplineFord C4 24 SplineFord C4 26 SplineTF727 24 SplineTF727 19 Spline (early style)700R4 27 Spline700R4 30 SplineOther
1st Gear Ratio:
—Please choose an option—1.31 : 11.34 : 11.36 : 11.40 : 11.64 : 11.65 : 11.69 : 11.76 : 11.80 : 11.82 : 11.86 : 11.95 : 12.00 : 12.10 : 12.45 : 12.46 : 12.48 : 12.52 : 12.75 : 13.06 : 1Not Sure
Engine Information
Engine Size:
Type:
Compression Ratio:
Carburetor (cfm):
Peak Torque:
@ RPM
Peak HP:
Nitrous:
YesNo
Stage #1:
Stage #2:
Stage #3:
Engine Balance:
—Please choose an option—InternalExternal
Power Adder:
—Please choose an option—SuperchargedTurbochargedNitrousOther
Blower / Turbo
Boost:
% Overdriven:
Cam Lift
Intake:
Exhaust:
Cam Duration @ .050”
Lobe
Lobe Centerline:
Rocker:
Head Type/Flow:
Fuel
Fuel Type:
—Please choose an option—Pump GasRace FuelAlcoholE-85NitroPropaneDiesel
Tires
Rear Tire Size:
Average E.T.:
Other
MPH:
Gear Ratio:
Midplate:
Thickness:
Stall Wanted:
RPM
Launch RPM:
Shift RPM:
Through RPM:
Conv. Bolt Pattern
—Please choose an option—TH350/PG - 10.750” 3 BoltTH350/PG - 10.75” 6 boltTH400 - 11.500” 3 boltGM Combo 10.750” and 11.500” 6 boltC4 - 10.500” 4 boltC4 - 11.375 4 boltChrysler Small Bolt PatternChrysler Large Bolt PatternPilot Diameter 1-3/8Pilot Diameter 1-7/8Other
Additional Customer Notes
Notes:
NOTES: If you selected "other" to any of the items above make sure to add clarification information here.
JW Performance Transmission Inc. 1826 Baldwin St. Rockledge, FL 32955
Telephone: (321) 632-6205 FAX: (321) 632-0247
Sales & Technical: ScottF@racewithjw.com General: jwperf@racewithjw.com