In order to tailor our Centech custom kits to your vehicle, we will need the following information:

Print out and complete this reference sheet, then either call our order line at (610) 754-0720 or fax it to (610) 754-0745 so that we can provide a quote for your custom wiring harness.


The custom wiring kit I would like to purchase:______________________

Information on my project vehicle

IGNITION SYSTEM (pick one)
Points
GM HEI
After-market
Magneto
Other ________________

CHARGING SYSTEM (pick one)
Delco Internal regulator, 3 wire
Delco External regulator
Ford Internal Regulator (late-model)
Ford External Regulator
Chrysler External Regulator
Other ________________

STEERING COLUMN
Make _________________
Year _________________
Column Ignition Switch? yes/no
Column Dimmer Switch? yes/no

Turn Signal Connector (pick one):

    3 7/8" flat
    4 1/4" flat
    Pyramid
    Half circle
    Column bolt-on
    Early Ford
    Other ________________
GM neutral safety? yes/no
Back-up switch? yes/no


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