"SHELF CHANGE" OR "REFERENCE" CUSTOM PISTON ORDER FORM If you have a JE Pistons account established and would like to place an order for custom pistons that are similar to an existing off-the-shelf JE piston OR PREVIOUS CUSTOM ORDER, please use the form below to place your order.ONLY THE CHANGES LISTED IN THE FORM BELOW WILL BE MADE, ALL OTHER DESIGN FEATURES AND COMPONENTS WILL REMAIN THE SAME. Account Info If you have a JE Pistons account and know your required part number, please use the form below to place your shelf order.   Billing Account #: Shipping Account #: Company: Contact Name: PO #: Phone #: Fax #: Email: Billing Terms: Select Terms Default Account COD Call for Credit Card JE Salesman: Select Testing Alex Russell Brian Weaver Danny Ochoa Gregg Suyenaga Jerry Roche Matt Periconi Nick Diblasi Paul Carvounas Randy Gillis Stacey Stone TJ Harris JE Sales Department   What would you like to order? Please enter the JE shelf part number you would like to reference, then enter your desired bore size and compression distance.   JE Shelf Part or Reference # Bore Comp. Dist. Order Rings? Order Wrist Pins? Yes No     Yes No       What changes are being made? Please list any other changes you would like to make to the JE shelf part (ring package, pin diameter/length, valve relief diameter/depth, etc.   Change #1: Change #2: Change #3: Change #4: Change #5: Other Instructions:   Shipping Info Please enter the drop ship address below. If the order is being shipped to the address in your account profile, select "ship to the address listed on my account".   Drop Ship Ship to the address listed on my account   Name: Address: City: State: Zip: Ship Via: Select Method UPS Ground UPS 1 Day UPS 2 Day UPS 3 Day UPS International Express UPS International Expedite UPS Canada Ground UPS Bestway Sonic Air FEDEX 1 Day FEDEX 2 Day FEDEX 3 Day DHL Will Call Other Special Instructions: Confirmation required?: Yes No If yes, Select Method Email Fax Phone Call     - Denotes part # has been issued a new part #. A list referencing old part #s to their new counterparts will be available shortly. JE Pistons 15312 Connector Lane - Huntington Beach, CA 92649 - Sales/Technical Assistance | Careers @ JE JE and SRP Pistons are Exclusive NASCAR Performance Products NASCAR® and NASCAR Performance® are registered trademarks of the National Association for Stock Car Auto Racing, Inc Copyright 2002-2007 JE Pistons. All Rights Reserved.