Wiring Harness Request Form Please enable JavaScript in your browser to complete this 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 understandName *FirstLastPhone number *Email *Year, make, and model if your vehicle *Is the engine from a different year, make, or model? *YesNoIf 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 replacementStreet performanceMotorsports harnessDo you need an engine harness, a chassis harness, or the while car wired? *Engine harness onlyChassis harness onlyWhole car wiringDo you have a donor harness to use for connector shells, and measurements (this will NOT be returned to you) *YesNoIs the chassis modified in any way that will affect harness layout (roll cage, bash bar, relocated sensors, etc) *YesNoIf yes, please specifyDo you have any aftermarket sensors, gauges, lighting, stereo, electronics, etc? *YesNoIf 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? *$1,500 - $2,500$2,500 - $3,500$3,500 - $4,500$4,500 - $5,500$5,500+Requested completion date? *Is the car in San Diego, and can it be brought to 5523 Motorsports? *YesNoSubmit
