ChipTorque - Memcal Order Form

Custom Memcal Order Form

Important: ChipTorque Custom Memcals are supplied on an exchange basis. Your factory/standard Memcal must be delivered to the address listed above before your order can be fulfilled.

Billing Details

Contact Name:

Bill To:

ABN:

Address:

Suburb:

State:

Post Code:

Phone:

Email:

Vehicle Details

Make:

Model:

Build Date:

VIN:

Transmission:

Vehicle Speed Sensor Fitted? (VSS):

Yes No

ECU BCC:

Modifications

Exhaust:

Extractors:

Oxygen Sensor/s (we advise using ONLY AC Delco or NTK):

Manifold:

Throttle Body (list CFM if available):

Air Flow Meter:

Camshaft Brand and Part#:

Duration @ 0.050 (inlet / exhaust):

Headwork:

Compression Ratio:

Injector Part#:

Fuel Pump:

Turbo / Supercharger:

Boost (PSI / CFM):

Program requests / extra notes

Disable Vehicle Anti Theft? (VATS):

Yes No