CUSTOMER INFORMATION

Business / Contact Name: ______

Address: ______

City: ______State: ______Zip: ______

Phone Contact Number(s): ______Cell#______Fax#: ______

Email :______

CYLINDER INFORMATION:

YEAR: ______MAKE: ______MODEL: ______

WORK REQUIRED/SPECIAL INSTRUCTIONS______

______

ADDITIONAL SERVICES DESIRED

  • PRIORITY SERVICE - PAID RUSH 3-5 Day Depending on Repair $ 75 first cylinder $ 25 each additional cylinder per order
  • PISTON KIT Wiseco Wossner ProX OTHER ______
  • TOP END GASKET KIT
  • TOP END BEARING – Strongly recommended –not included with piston
  • PISTON COATINGS: Dome $ 35 Skirt $ 35 -- Skirt coating protects both cylinder and piston
  • REMOVE STUDS ONLY $ 25
  • REMOVE POWER VALVES ONLY $ 35
  • POWER VALVE SERVICE COMPLETE -Remove all power valves and studs, clean, and Install $ 70
  • 2 STROKE PORTING $ 125 - Call to discuss application and specs.
  • Heli coil - Price Each – $ 35
  • Head Modifications $ 65
  • Exhaust Valve Mod $ 50
  • Light Diamond Hone only $ 45
  • Deck Cylinder $ 50
  • Cut Cylinder Base $ 50

PAYMENT INFORMATION:

  • Existing Customer
  • Credit Card (DISCOVER / VISA / MASTERCARD -- I will call Please call when done
  • C.O.D.—Fee Applies
  • Other: ______

Cylinder Warranty

U.S. Chrome - Wisconsin (hereafter called "USCW") warrants its product(s) to be free of defects in material and workmanship for 365 days following the date of the original purchase. Upon authorized return inspection by USCW, any product which is deemed to be defective due to work performed at our facility will either be repaired or replaced at the option of USCW.

The purchaser's sole and exclusive remedy against USCW shall be for the repair or replacement of the defective product. This limited warranty does not apply to any product which fails due to misuse, neglect, improper installation, mishandling, accident, normal wear, or post-plating modifications (including but not limited to cylinder honing, porting or welding after our plating operations). Welding of cracked bridges is not covered under this warranty.

Any products, including piston kits, which are sold by USCW but not manufactured by USCW, are sold solely with the warranties of the manufacturer(s) thereof.

USCW's liability for its products and processes shall be limited to repairing or replacing parts found to be defective by USCW. No Cash Refunds. Parties agree that USCW is not liable for incidental or consequential damages in connection with any actual or alleged defect including: loss of use, loss of income or profit, personal injury, or loss of life or property.

To receive consideration for cylinder warranty work, a Return Authorization number ("RA") must be requested and received from USCW. To receive an RA number, call the USCW Service Manager at (920)922-5066 (ext. 104) and provide the dealer/customer number, cylinder serial number, invoice number, and a description of the alleged defect.

Please feel free to call us at (920)922-5066 if you have any questions relating to USCW's "Limited One-Year Warranty".