Dyno Waiver Name (required) Address (required) Phone (required) Email (required) Year (required) Make (required) Model (required) Vin # (required) Plate # (required) Mileage (required) Engine Type (required) —Please choose an option—4 Cyl6 Cyl8 CylRotaryOther If "other" Engine Type Transmission Type (required) —Please choose an option—5 Speed6 SpeedAutoOther If "other" Transmission Type I would like the following calibration maps (Available for Cobb AP / UpREV and others, check all that apply) Calibration Maps (required) 93 Pump91 PumpE85Water MethRace GasEconomyAnti-theftValet Vehicle Use: (required - Check all the apply) Daily DriverTrack DaysAutocrossTime AttacksRallyHill ClimbsDrag Intake Exhaust With Cat —Please choose an option—YesHigh FlowNo Spark Plugs Gap Set To MAF Size Blow Through Injector Brand —Please choose an option—BoschInjector DynamicsLucasSiemensFuel Injector ClinicDensoDeatschWerks Injector Size —Please choose an option—35036544044552556560065072574075077580085088090092595010001100120013001650200021002200 Fuel Pump Upgraded Wiring Relay Adjustable Fuel Pressure Regulator Set to PSI Turbo Trim (If known) Boost Controller Boost Controller Type —Please choose an option—ElectronicManual BOV/Bypass Valve BOV/Bypass ValveType —Please choose an option—RecircVent to atmosphere ECU/EMS Reflash —Please choose an option—CobbUpREVHP TunersOther If "other" ECU/EMS Reflash ECU/EMS Standalone —Please choose an option—AEMVIPECProEFIOther If "other" ECU/EMS Standalone Customers please fill your tank prior to arrival or drop off! Type of Fuel In Vehicle: (required) 93 Pump91 PumpE85Water MethRace Gas Fuel Octane Additional Notes Digital Signature: By filling out and submitting this form I hereby acknowledge and agree to be bound by the following: Any Parts, chemicals, lubricants, hardware components used by Synaptic 3 Performance to successfully complete the dyno session will be an additional cost. Dropping off a car without a full tank of gas will incur a premium fuel charge for fill up. Any vehicle on the chassis dyno that is in need of repair or modification to complete a successful tuning session will be subject to an additional charge at the regular shop hourly rate of $145/hr. This charge is in addition to the normal dyno usage rate. Alternately if troubleshooting occurs on the dyno to isolate a problem the rate billed is $250/hr for dyno diagnostics. Testing and tuning on the dyno will push your vehicle to it's mechanical limits. It is your responsibility to ensure that your car is in good working order and capable of handling the stresses incurred when your car's limits are reached. Synaptic 3 Performance is in NO WAY responsible for any damage to your vehicle incurred BEFORE, DURING or AFTER your vehicle is operated on the dyno. I hereby acknowledge, that I am aware of the potential risks involved with dyno testing and tuning and that I waive any and all claims against Synaptic 3 Performance/RAD Motor Sports LLC for ANY damage to my vehicle or personal injury as a result thereof. Type Full Name (required) Date (required) I Agree
