QUESTIONNAIRE
Name:______________________________
Address:____________________________
City:______________State:____Zip:______
Phone #: (____) ______________________
Jeep Year & Model:____________________
Engine:______________________________
Transmission:________________________
Gearing:_____________________________
Lift Kit: Y /N Height:___________________
Vin #:_______________________________
Why do you want to make the swap?
____________________________________
____________________________________
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What type of vehicle was 4BT pulled
from? ___________________________
Is it Chevy or Ford style? ___________
(Chevy leans – Ford sits straight up)
High or low mount turbo? ___________
Please take pictures of all sides of the
engine and send them with this form.
Include all casting
numbers on the block.
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