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Engine Worksheet
C2Q     ENGINE KIT QUESTIONNAIRE


CLARK'S CORVAIR PARTS INC SHELBURNE FALLS, MA 01370

USE THIS QUESTIONNAIRE TO AID YOU IN MAKING YOUR ENGINE PARTS ORDER OR RETURN TO US & WE'LL USE YOUR ANSWERS TO CREATE AN ORDER FOR YOU & RETURN IT TO YOU FOR YOUR APPROVAL.

PLEASE PRINT AND FILL OUT,OR CUT AND PASTE TO A WORD DOCUMENT AND FILL OUT ALL THE FIELDS AND EMAIL IT TO US. YOU MAY ALSO MAIL OR FAX THE FORM TO US, THANKS.

1-YEAR OF CORVAIR______ 2-HORSEPOWER______ 3-AIR CONDITIONING YES_____ NO_____ YEAR OF ENGINE_______ # OF CARBS______ KEEP FACTORY SMOG? YES_____ NO_____

HEAD NUMBER ________________ (7 DIGITS REQUIRED)

BLOCK CODE? __________(SEE THE BOTTOM OF PAGE 1 IN OUR MAIN CATALOG)

4-GENERAL PERFORMANCE LEVEL YOU DESIRE__________ GIVE US A NUMBER BETWEEN #1-5 #1=STOCK #3=ABOUT MAXIMUM FOR "PERFORMANCE STREETABLE" #5=MAXED OUT PERFORMANCE. (YOU CAN ALSO USE + OR -, 3-)

5-ENGINE ROTATION-( )REGULAR CORVAIR ( )REVERSE ROTATION (VW OR SPECIAL APPLICATION)

6-APPROX RANGE OF $ YOU WANT TO SPEND $__________ - $__________

7-HAVE CYLINDERS BEEN HONED SO YOU KNOW IF YOU CAN STAY WITH STOCK RINGS? YES_____ NO_____

8-HAS CRANK BEEN CHECKED FOR BEARING SIZE? YES_____ NO_____ SIZE- MAINS________ RODS________

CHECK OFF THE FOLLOWING

* WE RECOMMEND ANY PART THAT HAS THE ASTERIK BESIDE IT

CATALOG PAGE # 3 (2007-2012 CATALOG)

3 * COMPLETE "I WANT EVERY GASKET" ENGINE GASKET SET____ "I WANT THE LEAST COMPLETE" ENGINE GASKET SET____

8 * DO YOU WANT THE ENGINE TO BODY SEAL ? YES____ NO____

9 NEW SHROUD BOLTS YES_____ NO_____

10 * DO YOU WANT THE ENGINE BLOWER BEARING ? BARE_____ BEARING & HUB_____ 15 * COMPLETE BEARING & HUB INSTALLED IN BLOCKCOVER_____

10 TOP BLOCK COVER BOLTS YES_____ NO_____

11 HARMONIC BALANCER YES_____ NO_____ NEW_____ REBUILT_____

PAGE 2 OF CLARK'S ENGINE QUESTIONNAIRE CATALOG PAGE # 11 (2007-2012 CATALOG)

11 * IDLER PULLEY BEARING YES_____ BARE_____ PULLEY & BRACKET_____ NO_____

12 * OIL PUMP YES_____ STOCK_____ $ SAVER HI VOL_____ * PRO HIGH VOL_____ NO_____

13 HEAD STUDS (WE ONLY SUGGEST YOU REPLACE ONES BADLY RUSTED OR LOOSE) UPPER YES_____ SIZE_____ NO_____ LOWER YES_____ SIZE_____ NO_____

13 * HEAD NUTS - YES_____ NO_____

14 * FAN BELT - YES_____ CLARK ULTIMATE_____ OTTO SUPER_____ NO_____

17 VALVE SEATS - INTAKE YES_____ QTY_____ NO_____ EXHAUST YES_____ QTY_____ NO_____

17&20 VALVES - INTAKE YES_____ QTY_____ NO_____ EXHAUST YES_____ QTY_____ NO_____

17 VALVE SPRINGS - YES_____ STOCK_____ PERF_____ NO_____

17 VALVE SPRING CAPS-YES_____ STOCK_____ PRECISION_____ ALUM_____ NO_____

18 VALVE STEM KEYS - YES_____ INTAKE QTY_____ EXHAUST QTY_____ NO_____

18 ROCKER STUDS - YES_____ NO_____

18 ROCKER ARM SETS - YES_____ STOCK_____ GROOVED_____ MATED_____ NO_____ ROLLER_____

19 *LIFTERS - YES_____ NO_____

19 PUSH RODS - YES_____ STOCK SET_____ HD SET_____ INDIVIDUAL_____ NO_____

20 *PUSH ROD GEOMETRY KIT - YES_____ NO_____

20 VALVE GUIDES- YES_____ STEEL_____ BRONZE_____ SAFE BRONZE_____ NO_____ SIZE_____ SIZE_____ SIZE_____ QTY_____ QTY_____ QTY_____

21 OCTANE CUT PISTONS (FORGED ONLY) - YES_____ NO_____

PAGE 3 OF CLARK'S ENGINE QUESTIONNAIRE CATALOG PAGE # 21 (2007-2012 CATALOG)

21 BALANCE PISTONS - YES_____ NO_____

21 PRESS PISTONS ON AND OFF RODS - YES_____ NO_____

22 HONE CYLINDERS - STD - YES_____ NO_____

23 CYLINDER KITS - YES_____ NO_____

CHECK OFF THE FOLLOWING IF YOU CHECKED YES FOR CYL KITS

CYLINDERS rebored or New full fin are available Rebored_______ Full Fin ____ SIZE _______ CLARK'S SUGGESTION_____ PISTONS - FORGED_____ CAST_____ CLARK'S SUGGESTION_____ RINGS - CAST_____ CHROME_____ MOLY_____ CLARK'S SUGGESTION_____

25 RODS - YES_____ REGULAR_____ BALANCED_____ HIGH PERF_____ NO_____

25 ROD NUTS - YES_____ NO_____

26 * PLASTIGAUGE - YES_____ NO_____

26-27 CRANK KIT - YES_____ NITRIDED- YES_____ NO_____ NO_____

26-27 CHECK THESE ONLY IF YOU CHECKED "NO" FOR CRANK KITS MAIN BEARINGS- YES_____ SIZE_____ NO_____ ROD BEARINGS- YES_____ SIZE_____ NO_____

27 CAMSHAFT - YES_____ NO_____

IF "YES" ANSWER THE FOLLOWING NEW CAM_____ REGROUND CAM_____ REVERSE GRIND CAM_____ STOCK CAM GEAR INSTALLED_____ FAILSAFE CAM GEAR INSTALLED_____

STOCK GRIND - YES_____ NO_____

IF YOU CHECK "NO", GIVE US A NUMBER BETWEEN 1 & 5 TO INDICATE THE APPROX LEVEL OF PERFORMANCE DESIRED. 1= STOCK, 5= MAXIMUM PERFORMANCE, 4 AND 5 ARE CONSIDERED RACE LEVEL. PERFORMANCE #_____

29-30 ALUMINUM OIL PANS & VALVE COVERS CLARK OIL PAN_____ CLARK VALVE COVERS_____

OTTO OIL PAN_____ POLISHED FINS_____ OTTO VALVE COVERS_____ POLISHED FINS_____ 4 HOLE_____ 6 HOLE_____ ECONO OIL PAN_____ ECONO VALVE COVERS_____

OTHER PARTS TO CONSIDER-CARBS 55-57, AIR CLEANERS 58-59, FUEL PUMPS 65 GAS LINES 66-67, TUNE UP 74-76, DISTRIBUTORS 77-79, GENERATORS/ALT 82-84 STARTERS 85-86, WIRING 97-98-ALSO CHECK OUT OUR "CLARK MULTI KITS"

CLARKS- MORE THAN PARTS.   Trusted Commerce
©2016 Clark's Corvair Parts®, "Clark's Corvair Parts" and the "Corvair Map" are registered service marks of Clark's Corvair Parts, Inc.
P.O.Box #NET 400 Mohawk Trail Shelburne Falls, MA 01370 USA All rights reserved.
Main Office Phone: 413.625.9776 Order Machine: 888.267.8247 Toll Free Fax: 888.625.8498 Fax: 413.625.8498