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Name: Company: Email: Address: Phone: City: State:   Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Federal States of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington Washington DC West Virginia WisconsinWyoming Zip:   PO Number:   Year of Vehicle:   1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008   Make of Vehicle:   Acura AMC Audi BMW Buick Cadillac Chevrolet Chrysler Dodge Eagle Ford Ford Truck GEO GMC Truck Infiniti Jeep Lexus Lincoln/Mercury Mazda Mitsubishi Nissan Oldsmobile Pontiac Renault Saturn Subaru Suzuki Toyota Volvo VW   Model (Style) of Vehicle:   Fuel System:   1 Barrel Carb 2 Barrel Carb 4 Barrel Carb FI - Fuel Injection CFI - Central Fuel Injection MFI - Multiport Fuel Injection SFI - Sequential Multiport (Electronic) Fuel Injection TBI - Throttle Body Fuel Injection TPI - Tuned Port Injection   Engine Size (Cubic Inch or Liters):   Bore Size:   STD .010 .020 .030 .040 .060 Ring Material:   Cast Moly   Bearing Size Rod Bearing Size:   STD .001 .002 .010 .020 .030   Main Bearing Size:   STD .001 .002 .010 .020 .030   Type of Engine Kit Requested Kit:   Piston Ring Rod & Main Re-Ring Re-Main Cam & Lifter Cam Change Master Master Plus Complete Complete Plus Crankshaft Cylinder Head Other (list below) Kit Details Warranty:   Premium Premium Plus * Warranty only applies to Complete and Complete Plus kits.   Additional Parts Quantity Line Part # Description/Comments                       Comment: