Quote a Custom-Built Clutch

Company Name/Account

Your Name*

PO Number

Date Needed by Customer

Your Email Address*

Your Phone Number*

Your Address*

Your City*

Your State*

Your Zip*

Your Country*

Shipping Address

Shipping City

Shipping State

Shipping Zip

Shipping Country

Vehicle Year*

Vehicle Make*

Vehicle Model

Vehicle Weight* (in pounds)

Rear Axle Ratio*

Tire Type*
—Please choose an option—StreetDrag RadialSlickOther

Tire Height

Tire Width

Vehicle Use*
—Please choose an option—Drag Racing ONLYDrag Racing with limited StreetStreet with limited Drag RacingStreet ONLYShow ONLYOther

Racing Class

Sanctioning Body

Altitude

Unit Size*
6.6-inch8-inch10-inch SS10-inch BB10.5-inch10.7-inch11-inchOther

Number of Discs*
12345Other

Type*
PedalCentrifugalOther

Ring Gear*
YesNoOther

Flywheel*
HemiChevyFordOther

Flywheel Material*
—Please choose an option—TitaniumAluminum

Hat*
—Please choose an option—TitaniumAluminum

Lever Type*
—Please choose an option—4140M4

Doughnut*
—Please choose an option—TitaniumAluminum

Studs*
—Please choose an option—7/161/29/165/8

Stands*
—Please choose an option—SteelTitanium

Weight Kit*
—Please choose an option—YesNo

Indicator*
—Please choose an option—YesNo

Additional Comments