Ship to:

170 Oberlin Ave N. Unit 13, Lakewood NJ 08701

732 444 3277

PSI PCM Information Sheet

Please print and send in the mail with your PCM

This form is essential for PSI to get the correct specs for your

application. Failure to include this form with your PCM will

result in delay of shipment and possible incorrect tune

parameters.

Name:____________________________Email:____________________________

Phone:__________________

Address:__________________________________________________________

City:_____________________________State:_________Zip:_________________

Engine/Transmission Information:

Donor Vehicle:_________________Year:___________________

Engine Size:__________________________ Transmission Type:____________

Rear Gear:_________ Tire Size:________________ DBC or DBW (circle one)

ENGINE COMPONENTS:

Please circle one option for each question

FUEL INJECTOR TYPE: EV1 (LS1/LT1) EV6 (LS2/SL3) MULTEC (VORTEC/TRUCK)

MAF SENSOR TYPE: LS2 LS3/LS7 VORTEC (07/08/G8) VORTEC (09+)

INTAKE MANIFOLD TYPE: VORTEC (07/08) LS2 LS3/LS7/L76 VORTEC (09+)

ADDITIONAL INFORMATION: ______________________________________________

PSI is in no way responsible for lost or damaged items. By signing below you agree to

not hold PSI accountable for lost/damaged/incorrectly shipped items.

Customer Signature_____________________________________ Date______________