Information Request Form

For more information about modifications for your bike, please fill out the form below and submit it.

Please note: EVERY question is personally answered by Jeff. In fairness to the limited time of a semi-retired engine builder --- SERIOUS INQUIRIES please, we MUST have ALL the info requested ,..to give an accurate answer....... or phone 631-928-9863 when ready to order or schedule work.

Email: jeff@jcperformance-engines.com
Name:
Address:
City: State: Zip:
Day Phone #: -
Eve. Phone #: -
(required)Email Address:

When is the best time to call you? Days: or evenings:

Bike Information:
Year:
Make:
Model:
Preferred Use:
Describe present modifications: please be as specific as possible


Rider Information:
Weight: (this is important)
Skill Level:

Type and Purpose of modifications desired:


Other comments:



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