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)
SB
PRO
BB
HEM
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 DAY
UPS/GRD 2
ND
DAY
UPS AIR 3
RD
DAY
FED 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.