Right now, I've got a '59 292 in my '30 Model A Coupe.  The transmission is a 3 speed toploader from the early '60s (non-synchro'd reverse).  I THINK it's the wide ratio transmission because there seems to be a big difference between 2nd and 3rd.
The rear is a Dana 41 with 4.27:1 gearing.  The tires are 29.5" tall.

On the highway it's spinning at 3200 or so at 65 mph.  In Second Gear, at around 30 mph in town it's also spinning close to 3000.  

Anyway...I originally thought about getting a 9" rear with more reasonable gearing in it, but then it may not be as fun.  Doing the math with a T-5, with two extra gears, and one of them an OD, I think it would be a better option.  

1.  What would I need to make this work?  Clutch Parts, adapters, etc.?  
2.  Anyone know how much further back my shifter would be coming from a toploader?
3.  Anything else that I'm overlooking?

Paul’s right about the car bells. All the truck bells I’ve seen have the large ears for the rear engine mount (the front is the steady rest style under the dampener). What I don’t know is whether the truck had 2 bells-one for the 3 speed and one for the granny low 4 speed. I can’t tell from your pictures which bell you’ve got. Some truck bells have a boss for a hydraulic slave cylinder, some don’t.

Just been too long since I looked at mine.

What are you using for engine mounts?

miker
55 bird, 32 cabrio F code
Kent, WA
Tucson, AZ

That is correct - all car y-block manual bell housings are the same.  The pics you posted are of a common Y-block standard trans bell housing so you're good. The truck is a different animal as stated above with the mounting ears, it is also about 1" deeper due to the ears and is available with 2 different trans bolt patterns, the common 3 speed trans and the larger pattern granny gear 4 speed, also stated above.  I did the T5 conversion in my 64 F100 and that presented different challenges than a car. Finding a rebuildableT5 form a 5.0 Mustanag will be a challenge or, new ones are available. Will need to consider the cost of a core, the cost to PROPERLY rebuild it as opposed to a new one. I installed a 3.5 gear in the rear axle and any higher than that would probably make 1st gear useless in my case. I can't stress enough what a wonderful inprovement a T5 is behind a Y-block. It  modernizes the driving dynamics of our Y powered vehicles. Get the ratios correct and it's not much different than driving a 5.0 Mustnag, at least on a straight run. It is the upgrade that I feel made the most bang for the buck. 

64F100 57FAIRLANE500