Heavy Duty Powertrain Inc.
5090 N. Oak Road
Davison, MI 48423
www.heavydutypowertrain.com
sales@heavydutypowertrain.com
Parts Department Toll Free 866.866.0541 USA Only
Parts Department FAX 810.653.8929
ECM Truck Down Tech Support Cel 727.494.5514 Terry
9:00am to 9:00pm est. (Open 7 Days a Week)ECM Fax Order Form

Fax Orders to: 1.810.653.8929

Vehicle: Make and Model and Year

N14-____________________________________

M11-____________________________________

L10-_____________________________________

60 Series ()-_________________________________

Transmission Type: Standard Shift,  Top 2 Autoshift,   Allison  (Circle One)

Engine Serial Number: ___________

(For Cummins ecm’s only) Truck’s Original CPL (4- Digits) __________

Desired Horse Power:  ______

(Please note: A higher horse power may require an ambient sensor and/or different but compatible CPL)       

Parameters Required:

Rear/Axle Ratio:__________ or Last 8 of VIN: _______________

Tire RPM’s: _______ or Tire Size: ________ Standard or Low Pro (Circle One)

Optional Parameters:

PTO RPM MAX: ___________

Max MPH: ___________ (Max. is 99mph)

Max RPM’s: Yes or ____________

Other: __________________________________________________

Credit Card #: ________________________ Exp. Mo./Year: ___/___  Verification # ___

Exact Name on Card and CC Billing Address    Ship To Address: Please Print Clearly

____________________________                 Company: ___________________________

____________________________               Attn/Dept.: ___________________________

_____________________________                 Address: ___________________________

Your Phone: __________________                                    __________________________

                                                            Ship To’s Phone#: _____________________

                                           Call/Order Toll Free: 866-866-0328

                                  Fax Orders to: 810.653.8929

       Back To Home WWW.HEAVYDUTYPOWERTRAIN.COM