FUEL TANK ORDER FORM

Please Print this Form. Provide Data Requested.
Each Board is built and Programmed according to the data you provide.
Send completed form with Payment of $165.00 (US) to:

JRL Engineering Knot-Vue Division
7333 N. Brooklyn
Gladstone, MO 64118-2329

Engine Fuel Burn Rate - - - [ ........................................] GPH
Header Tank Size - - - - - - - [ ....................................... ] Gallons
Fuel Pump Rate - - - - - - - - [........................................ ] GPH
Suggested Cycle Time - - - [ ....................................... ] Minutes
(Pump Start-Pump Stop)

Name ...............[ ............................................................]
Address ...........[ ............................................................]
City State Zip ..[ ............................................................]
email ............... [ ............................................................]
Phone ...............[ ................................ ]
Fax .................. [ ................................ ]

Notes:

For additional information call JRL at 816-468-4091