Jet Custom Chip Specification Form



Please fill out this form completely. If any of the below systems we ask for are stock simply answer "stock".

Vehicle Information
Vehicle Year:	*
Make:	*
Model:	*
Weight:
Stock Engine C.I.:
Current Engine C.I.:
Stock Transmission:
Current Transmission:
Gear Ratio:
Tire Size: *i.e. 245/75/16
Towing Weight:
Computer Service Number: * This number is located on the stock computer.
Stock Chip Broadcast Code: * The Broadcast Code is 4 letters i.e.: ABCD.

Vehicle Modifications
Intake Manifold Make & Model:
Air Intake Type:
Boost or Fuel Controllers:
Ignition System Make & Model:
Compression Ratio:
Camshaft Make:
Camshaft Lift:
Camshaft Duration @ .050 Intake:
Camshaft Duration @ .050 Exhaust:
Heads:
Intake Valve:
Exhaust Valve:
Ported:
Supercharger:
Turbo Charger:
Lbs of Boost:
Nitrous:
Nitrous Brand:
HP of Kit:
Exhaust: *Headers, Cat Back, etc.
Vehicle Use:
Describe Vehicle Use:
Describe Any Current Problems:

Contact Information
Name:	*
Address:
City:
State:
Zip Code:
Email Address:	*
Phone Number:	*
Mobile Number:
I understand that custom chips are for off road use only, and due to the engineering time involved, these chips are NON REFUNDABLE FOR ANY REASON. Jet will replace or repair within the first ninety (90) days, at their discretion, any product that is determined to be defective. I have read the above conditions and agree to these terms. By filling in the "Online Signature" below, you acknowledge acceptance of this order.
Online Signature:
	*Required Field