Vehicle Database Submission Form
Please include as much information as possible when completing the form
Email Address:
*
Year:
*
Make:
*
Model:
*
Engine Type:
*
Gas
Diesel
Hybrid/Electric
Starting Method:
*
Key
Push Button
Main Wire Colors/Locations
12 Volt Wire Color
*
12 Volt Wire Location:
*
Ignition 1 Wire Color
*
Ignition 1 Wire Location:
*
Starter Wire Color
*
Starter Wire Location:
*
Misc. Wire Colors/Locations
Based on your states requirements, please fill in any applicable information
Horn
Info
Horn Wire Color:
Horn Wire Polarity:
Please Select
+
-
'+' = Positive Trigger Horn, '-' = Negative Trigger Horn
Horn Wire Location:
Parking Lights
Info
Parking Light Wire Color:
Parking Light Wire Polarity:
Please Select
+
-
Parking Light Wire Location:
Disassembly/Firewall Info
Dash Removal:
*
Through Firewall Location:
Photos
Photos do not need to be edited. Please provide a brief description of each photo.
Photo 1:
Photo 1 Notes:
Photo 2:
Photo 2 Notes:
Photo 3:
Photo 3 Notes:
Photo 4:
Photo 4 Notes:
Photo 5:
Photo 5 Notes:
Additional Comments:
Submit
Should be Empty: