PCM REPROGRAMMING ORDER FORM

PLEASE USE THIS PAGE IF YOU ARE ORDERING PCM REPROGRAMMING SERVICE FROM US. THIS INFORMATION IS NECESSARY FOR US TO PROPERLY PROGRAM YOUR PCM. AFTER YOU FILL THIS OUT PLEASE SEND YOUR PCM ALONG WITH A PRINT OUT OF THIS PAGE TO:

LARRY'S ELECTRIC
33 ST. LEO RD.
RUMA, IL. 62278

PHONE # 618-282-2852

Please provide the following contact information:

First Name

Last Name

Title

Organization

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

Work Phone

Home Phone

E-mail

PCM TYPE

ENGINE SIZE

TRANSMISSION TYPE

PROGRAMMING OPTIONS

REMOVE VATS (VEHICLE ANTI THEFT)   REMOVE EGR                         REMOVE PURGE CANISTER              REMOVE AIR PUMP                  
REMOVE CAT. CONVERTERS             REMOVE RPM LIMITER                 REMOVE ALL EMISSONS RELATED ITEMS

LT1 PCM ONLY - DISABLE MASS AIR FLOW SENSOR

YES
NO

TIRE SIZE (IE. 255-70-15)

REAR END GEAR RATIO (IE. 3:55)

COMPUTER CONTROLED FANS

YES
NO

IF YES TO COMPUTER CONTROLED FANS AT WHAT TEMP DO YOU WISH TO HAVE THEM ON/OFF (IE. 220/200)

ANY INFORMATION YOU FEEL WE NEED TO KNOW

First Name
Last Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

PCM REPROGRAMMING ORDER FORM

Author Brad Montroy.Copyright © 2008 LARRY'S ELECTRIC. All rights reserved. Revised: 02/13/08

Author Brad Montroy.
Copyright © 2008 LARRY'S ELECTRIC. All rights reserved.
Revised: 02/13/08