Crower Roller Lifter Order Form

 
Name: * Date:
Address Line 1: Address Line 2:
City: State:
Country: Zip:
Phone: * FAX:
Email: *

ENGINE SPECIFICATIONS:

Block Manufacturer: * Size: * Make: *
Cylinder Head Manufacturer: Size: Make:
Cylinder Head Part #:
Lifter Bore Size: *
Offset:  *    Intake     Exhaust     Both     No Offset
Spring Pressure: Seat lbs. Open lbs.
Maximum RPM:

APPLICATION:  *

Street Only Drag RaceOff-Road OnlyMarine
Street/Strip Oval TrackTruck/Tractor PullOther:
Pushrod Oiling:  * Y    N
Rev. Kit:  * Y    N
HIPPO Oiling:  * Y    N
Note: High spring pressure and high rpms along with high cylinder pressure from supercharger and turbo may need Maximus Series roller.
 
If you prefer, print the form by clicking ‘Print the Form’ button and mail the properly filled in form to the address below:
Attn:
CROWER CAMS & EQUIPMENT COMPANY, Inc.
6180 Business Center Court
San Diego, CA 92154-5604
For faster service fax this form to 619-661-6466
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