GRP
CONNECTING RODS

DATE ORDERED: TICKET #
DATE NEEDED: P.O.#
INVOICE #:
CUSTOMER NUMBER:
CUSTOMER NAME:
E-MAIL:
CITY:
STATE:
ZIP:
PHONE:
ROD TYPE (Click One)
SBPROBBHEM

SPECIFICATIONS:

ENGINE TYPE:
JOURNAL BORE FINISH DIA: WIDTH:
WRIST PIN BORE FINISH DIA: WIDTH:
CENTER TO CENTER DISTANCE:
QUANTITY REQUIRED:
SPECIAL INSTRUCTIONS:
SHIPPING PROCEDURES (Click One)
COD NEXT DAYUPS/GRD 2ND DAYUPS AIR 3RD DAYFED EX STD/PRI
When placing your order remember to include your CUSTOMER NUMBER!
If you are a new customer, write NEW CUSTOMER in the space provided for CUSTOMER NUMBER.