Racing Services Check-In Form

First Name*

Surname*

Email Address*

Telephone Number*

Required Racing Services Required Racing Services Internal Scale Removal Pre-Analysis (Data Supplied) Pressure Test Three Stage Internal Clean Flow Test (Data Supplied) Post-Analysis (Data Supplied) Fin Straightening

Company / Team Name*

Race Car Type / Series*

Heat Exchanger Type* Heat Exchanger Type*Engine Oil / Water Combo (Radiator)Water (Radiator)Engine OilGear / TransaxleEngine Oil / AirEngine Oil / Gear

Heat Exchanger Brand

Retail Value of Heat Exchanger

Core & Fin Condition (Select 1 to 6)* Core & Fin Condition (Select 1 to 6)*1: Perfect (New)2: Minimal Straightening Needed (Under 50% of Fins)3: Mid-Level Straightening Needed (Over 50% of Fins)4: High-Level Straightening Needed (Over 75% of Fins)5: Extensive Damage (Core and Fins)6: Consider a Recore

How Can We Help?*

Building Name/Number & Street*

Address Line 2 (Optional)

Town / City*

County (Optional)

Post Code*

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