3831 Otter Street • Bristol, PA 19007

Contact Name________________________________Work Phone_________________________

Company Name______________________________Home Phone_________________________

Address____________________________________Apt/Unit #__________________________

City___________________________________State_____________ Zip__________________

Name______________________________ Altitude______________________

Make of Boat ________________________ Length______________________

Single or Twin_______________________ Model______________________

What Outdrive_____________________ Gear Ratio________________ Weight_________________

Prop Size Now____________________ Max RPM________________ Max Speed______________

Motor Cu. In______________________ Bore____________________ Stroke__________________

Rod Length_______________________ Piston Name______________ Comp. Ratio_____________

Cylinder Head Make_________________________ Comb. Chamber C.C's______________________

Cam Make___________________Number__________

Valve Size: Intake________ Exhaust________ Duration at .050: Intake________ Exhaust_________

Lobe Center: Intake_________ Exhaust_________ Seperation_____________________

Gross Lift: Intake_________Exhaust________ Rocker Arm Ratio: Intake________ Exhaust_________

Intake Manufacturer__________________________ Head Gasket Thickness____________________

Blower Manufacturer_________________ Carb List Number___________ How Many______________

Size of Blower______________________ CFM_________________ Boost__________________PSI

Pulley Size Top____________________ Bottom______________________

Exhaust System Manufacturer_______________________________________ Dry or Wet____________

Length of Tailpipe________________________________________________

Fuel Pump____________________________Fuel Regulator__________________________

Phone (215) 781-1370 • Fax (215) 781-1371