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TQ Shock Intake Form

Name: *
E-mail: *
Phone: *
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Car: *
Front Suspension Type / Brand: *
Rear Suspension Type / Brand: *
Front Shock Stroke: *
Front Spring Rate:
Rear Shock Stroke: *
Rear Spring Rate:
Vehicle Weight: *
Tire Brand:
Rear Tire Size:
Front Tire Size:

Rate the following on importance on a scale of 1-10 with 10 being most important:
Autocross: *
Ride Quality: *
Road Race: *
Street Driving *
Drag Racing: *

Order Number:
If ordered over the phone, who was your sales person:
Other Comments:
Word Verification:

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