Wiring Harness Request Form

Thank you for your interest in a 5523 Motorsports wiring harness. Below are questions required to determine the optimal wiring package for your application. Please answer all questions as completely, and accurately as possible. Your answers here determine all materials recommendations, price estimates, and time of completion estimates. Answers give here have a DIRECT affect on the completed wiring harness. 5523 Motorsports is not responsible for manufacturing errors, which are a result of incorrect information provided in this questionnaire. *

I understand

Name *

First

Last

Phone number *

Email *

Year, make, and model if your vehicle *

Is the engine from a different year, make, or model? *

Yes
No

If yes, please provide year, make, and model of the vehicle the engine came from.

Are you interested in an OEM replacement, street performance (MIL-Spec), or motorsports wiring harness? *

OEM replacement
Street performance
Motorsports harness

Do you need an engine harness, a chassis harness, or the while car wired? *

Engine harness only
Chassis harness only
Whole car wiring

Do you have a donor harness to use for connector shells, and measurements (this will NOT be returned to you) *

Yes
No

Is the chassis modified in any way that will affect harness layout (roll cage, bash bar, relocated sensors, etc) *

Yes
No

If yes, please specify

Do you have any aftermarket sensors, gauges, lighting, stereo, electronics, etc? *

Yes
No

If yes, please list in detail what parts, including manufacturer, model, and part number.

What is the intended use of the vehicle (daily drive, auto-x, dedicated race car, etc)? *

What control system are you using? Please provide both type (stand alone, piggyback, reflash, etc), and manufacturer, and part number. *

What is your budget? *

Requested completion date? *

Is the car in San Diego, and can it be brought to 5523 Motorsports? *

Yes
No