*COMPANY NAME:

*CONTACT NAME:

*COMPANY ADDRESS:

*CITY, STATE, ZIP :

*PHONE:

 FAX:

*EMAIL:

WHAT ENGINE MODEL ARE YOU LOOKING FOR?

WHAT IS YOUR ENGINE GOING INTO?

IF IT’S GOING INTO A MACHINE, DO YOU HAVE THE S/N#?

ENGINE S/N#?

ENGINE ARRANGEMENT OR CPL #?

DOES YOUR ENGINE HAVE A PERFORMANCE STICKER?

ANY OTHER AVAILABLE INFORMATION FROM YOUR FUEL INJECTION PUMP: