Wiring Board Information Sheet

Please fill out completely. The more information you provide, the more complete your diagrams and instructions will be.

Contact Information
First Name:
Last Name:
Company:
Email:
Phone:
Fax:
Address :
     
Address :
     
City:
State:
 Zip:    
 
 
Wiring Board Information
Vehicle:
 Year:
Make:
Body Style:
   
Engine:
 Year:
Make:
Cubic Inches
   
Distributor:
Aftermarket (Manufacturer Name & Model)
Electronic Control Module:
Aftermarket (MSD-6A, Stinger, etc.)
External Coil:
Aftermarket (Manufacturer Name & Model)
Steering Column:
 Year:
 Make:
Model:
    
  Turn Signals Ignition Switch
In Column 		Headlamp
Switch		 Wipers Cruise
Control
Alternator:
 GM Ford Chrysler Honda GM
Space Saver
 
Single Wire Type  
Electric Gauges:
Voltmeter Ammeter Indicator
Charge Light
Starter:
   
Note:
 Fuses may be substituted with circuit breakers at additional cost. The “Black Box” wiring board comes complete with panel, fuses, terminal connectors, cover, mounting plate, Torx wrench, hardware, horn relay, turn signal flasher, hazard flasher, ignition resistor and installation diagrams and instructions  
Also Available:
Complete labeled wire sets, switches, plugs, labeled shrink tubing, etc.
Additional Information
& Comments: