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Crowerod Order Form

Name: *	Date:
Address Line 1:	Address Line 2:
City:	State:
Country:	Zip:
Phone: *	FAX:
Email: *
Engine Make: *	No. of Cylinders:
Cylinder Bore Size: *	Target Weight:
Max RPM:	Max Horsepower:
Turbo/Boost:	p.s.i./bar Nitrous Oxide:	HP Shot
Quantity Desired: *	Previous W.O. No.:
I-Beam H-Beam Maxi Lite Titanium

Measurement in inches or millimeters

*
Center to Center Length
*
Big End Housing Bore
*
Big End Width
*
Pin End Bore
*
Pin End Width
Overall BE Width
Bolt to Bolt Width
BE Offset
BE Offset
Bolt to Bolt Width
Beam Width
Tang Positioning
Tang Width
Tang Dimension
Rib to Rib Width

*Required

If you prefer, print the form by clicking ‘Print the Form’ button and mail the properly filled in form to the address below:
Attn:Crowerod Technical Support
CROWER CAMS & EQUIPMENT COMPANY, Inc.
6180 Business Center Court
San Diego, CA 92154-5604
For faster service fax this form to 619-661-6466

* Security Code q66nt

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Crowerod Order Form

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619.661.6477