Transmission Information Form

Print this page, Fill it out,
Then fax it back to:
201.843.3238

To service you correctly we need the following information:

Your Name__________________________________________

Phone # _____________________________________

Fax #________________________________________

E-mail_______________________________________


Year and Make of vehicle________________________________

Main case #__________________________________________

Casting #____________________________________________

Tag #_______________________________________________

Tail Housing #________________________________________

Parts Requested:______________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

____________________________________________________________

This will identify your transmission, which will allow us to send you the proper parts
If your rebuilding it yourself...

Should you wish us to rebuild your transmission. We need this information to identify which manufacturer,along with month and year it was manufactured.