Big Al's List Feature Car Questionnaire and Release Form
Big Al's List / 488 Monroe Blvd. / Painesville, Ohio 44077
www.BigAlsList.com
Name
Address
City, State & Zip
Phone			Email
Clubs & Organizations
Spouse's Name
Occupation
Please Sign Here					Date
Car Information
Year
Make
Model
Color
Builder
Value
Engine
Year		Make		Cylinders
Cubic Inch		Bore & Stroke
Carburetor				Injection
Blower				Turbo-Charger
Intake
Heads				Valves
Cam		Lifters		Push Rods
		Rockers		Springs
Pistons				Rods
Crankshaft
Oil Pan				Sump Pump
Water Pump				Belt Drive
Ignition
Builder
Exhaust		Stock		Headers
Radiator		Copper/Brass		Aluminum
Air Cleaner
Valve Covers
Drive Train
Automatic Trans		Brand		Speed		Over Drive
	Converter			Shifter		Trans Cooler
Manual Trans		Brand		Speed		Over Drive
	Clutch			Shifter
Drive Shaft
Drive Shaft Loop
Rear End				Ratio
Wheels - Front				Tires
Wheels - Rear				Tires
Body
Custom Body
Steel / Glass
Paint
Painter
Bumper - Front
Bumper - Rear
Grill
Custom Work							use back
2, 3 or 4 Door
3, 4 or 5 Window				Tinted Glass
Interior
Seats
Material				Color
Upholster
Instruments	Stock			Digital
Steering Wheel
Sound System
Air Conditioning
Power Windows		Power Seats		Power Doors
Wiring
Chassis
Front End
Brakes
Steering
Shocks
Suspension
Interesting Facts
How long have you owned it?
How long have you worked on it?
Who helped you?
Where did you find it?
Who owned it before you?
What are your plans with it?
Do you own other Neat Rods?.
Trophies and Accolades
Photographer
Photographer Release Signature
Interesting History of Your Vehicle
This is the part that makes your story interesting! Do you have any funny or not so funny events that happened
to you or your car? Have you always wanted a car like this or is this just a ride on the path to a car you
have always dreamed of? The more information you can put here, the better the story will read to others!