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

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

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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

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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.

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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.

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Is Your Motor: D Carbureted Injected

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Turbo Charged: Lbs. Boost:
□ D Blown: Lbs. Boost:____ Customer Name:._________________
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Nitrous - How much HP: 100 D 250 D 350 D 400+ Customer Phone: ·-----------------

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

REVNC Customer's Email Address:. _______________