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Attn: (JE Sales Associate) SAL-1021

custom Piston Order Form


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10800 Vallav View St. CVPrass CA 90630, USA• TEL l114J 898-9163 • FAX l114J 893-8291 • www.Japlstons.com

Enigne Make: Model:. _____ Year:._____ Fuel Type: D Pump Gas Race Gas Alcohol Nitro

Number of Cylinders: Order Quantity of Pistons:._____ PISTON RINGS


Cubic Inch Displacement:.___ Max RPM:.___ Approx. HP:. ___ D Yes D No Cylinder Qty:. _____
Purchasing Rings with Order:

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Block Material: If NOT Purchasing Rings, Please Provide Set Brand
Aluminum Iron and Part Number: _________________
Bore Material: Axial Ring Height: c=) [ AXIAL RING HEIGHT
D Aluminum D Iron □ □

Steel Niksail Max Torque:
Top: 2nd: ______ Oil:.______
Bore Size:. ________ Stroke:
Rod Length:. ________ Axial Ring Widths: RADIAL RING WIDTH
D Steel D Aluminum Titanium □

Top: BLOa<HEJGHTr. I
2nd: ______ Oil:. ______

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Brand:. __________ Rail Supports
THICKNESS

Rod Small-End Width:. _____ Ring Tension L H


ABOVE PIN
l
Thickness Above Pin:. _____
OPTIONAL FEATURES
Piston Guided Rod: D Yes D No
D Gas Ports; Vertical----------------
Compression Height Calculatlon Table
Block Height: ________
□ Gas Ports; Lateral ________________

- 1/2 of Stroke:.________
D Accumulator Grooves _______________


Rod Length:. ________ D Contact Reduction----------------
Deck Clearance +/-.: _______ 30 Undercrown Milling _______________
Compression Height:. ______ D

DEG< Q_fARAf'CE
Gold Thermal Barrier Crown Coating ___________

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Head Gasket Thickness:. ______ Tuff Skirt Coating ________________
Head Gasket ID:. _________ D Kool Kote __________________
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Compression Ratio:.________
D Kool Kote Top_________________
CAMSHAllSPECS: Hydraulic Solid D Roller
Gross Valve Lift: In:._______ Ex: ________
□ Ultra Groove D With Gas Porting D Without Gas Porting
Lobe Separation ( 0 ):_____ Duration @ . 050: In:.___ Ex:. ___
Degree in Std. + 0
:
0 0
DEN Plating __________________
Valve Lift@TDC: In:. _______ Ex:._------- D Anodized Ring Groove ---------------
Rocker Arm Ratio:
CYLINDER HEAD Type:._____ Pt.#:. _______ PIN SPECS

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Combustion Chamber Size: cc's Pin Diameter: __ Length: Wall Thickness: Qty: __
D Yes
D
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Valve Diameter: In:.________ Ex:.________ Pins With Order: No Pin Fit: Yes No

Was Cylinder Head Milled?: □ □


Free Drop (If Known):. _________________
Yes No
Pin Series: 51
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52 93 94 95 H13 H13 DLC

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If Cylinder Head Milled, How much?: Flat:_____ Angled:____ Locks: D D
Double Spiro Locks Wire Lock True Arc HookWire
D
□FORGING "PE □ □
Single Spiro Locks Single True Arc Buttons
Full Round FSR FSR with External Bracing JE Pistons reserves the right to choose appropriate pin length
D FSR with Internal and External Bracing D Ultra Series FSR D Billet FSR if supplying pins per each piston design.


Piston Type: (Check One If Known)
□ □Expedite Services:
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D Dome D Flat Top Dish Inverted Dome Blue Expedite (14-20 Days) $25 per piston
D
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D Conical D Spherical Round 30 Red Expedite (7-14 Days) $50 per piston
***All Expedites Are Subject To Availability***
Pistons Designed For: Circle TrackAsphalt Dirt


RETURN POLICY: Custom Pistons are returnable only for defects in workmanship or materials
D Drag Race D Road Race D Marine D Street/Strip in the as received condition. Under no circumstances will parts be returnable after 90 days.


Please check packaging for complete details regarding return policy. All returns require
Other (Please Specify):. _______________ "Return Materials Authorization" (RMA) number, available from the JE sales department.


Is Your Motor: D Carbureted Injected


Turbo Charged: Lbs. Boost:
□ D Blown: Lbs. Boost:____ Customer Name:._________________

Nitrous - How much HP: 100 D 250 D 350 D 400+ Customer Phone: ·-----------------

Other (Please Specify):._______________ Signature:. _____________ Date: ____


REVNC Customer's Email Address:. _______________

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