Please fill out this form as completely as possible. The more information you provide, the faster we can start processing your order. 

We will contact you for more information if necessary.

Note: It may be necessary to provide a sample rod and/or bearing to complete your order.

Your Contact Information:

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Name:
Address:
City:		State:
Zip:		Email:
Phone:		Fax:

Engine Information:

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Engine Make/Model:				Engine Code:
Bore:		Stroke:		Approx HP:
Intended Use:
Naturally Aspirated		Nitrous		Turbo

Rod Specification:

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Quantity Required: Measurements are based on: Millimeters Inches [A] Length: [B] Diameter: [B] Width: [C] Diameter: [C] Width: Pin: Press Float Rifle drill for pin Oiling (extra cost): Yes No Bearing Part Number: Other Bearing Comments:

Pauter Machine Co.
Copyright © 2005. All rights reserved.
Revised: October 25, 2011 .

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