Lycoming Factory Engine Order Worksheet
Work Order
Ly-Con Point of Contact:
Please Select
Chris Davis
Dan Loflin
John Card
Ken Tunnell
Internal
Customer & Billing Information
Customer Name
*
Customer Address
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address
*
Ship to address:
*
Please Select
Customer
Shop
Shop Information
Shop Name:
Shop Address:
Phone Number:
Please enter a valid phone number.
Format: (000) 000-0000.
Email Address:
Timeline Information:
Requested Need-by Date: (Note: Pending factory availability)
-
Month
-
Day
Year
Date
For Core Returns, Expected Ship-to Lycon Date:
-
Month
-
Day
Year
Date
About the Aircraft & Engine
Aircraft Make:
*
Aircraft Model:
*
Aircraft Year:
*
Registration:
*
Airframe Serial Number:
*
Core Return:
Core Engine:
Spec:
Core Serial Number:
Aircraft is:
*
Certified
Experimental
Engine is to be:
*
New
Rebuilt
Overhauled
STARTER
Note: most new Lycoming engines no longer include a new starter
Do you want Lycon to provide a STARTER?
Please Select
Yes
No
If Lycon provides starter, what BRAND?
Sky-Tech
B&C
Other
If Lycon provides starter, what MODEL?
If Lycon provides start, what VOLTAGE?
Please Select
12v
24v
ALTERNATOR
Note: most new Lycoming engines no longer include a new alternator
Do you want Lycon to provide a ALTERNATOR?
Please Select
Yes
No
If Lycon provides alternator, what BRAND?
If Lycon provides alternator, what MODEL?
If Lycon provides alternator, what AMPS?
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Engine Option Choices
Remove Cylinders, Port Flow & Rebalance?
Please Select
Yes
No
Strip Paint from Cylinders / Alodine Heads for Improved Cooling?
Please Select
Yes
No
Test Cell Run & Dyno Test?
Please Select
Yes
No
Other Options or Directions:
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Terms and Conditions
Acknowledgement of 50% deposit required to place order with the factory. The balance is due upon shipment from the factory.
*
Please Select
Accepted
Declined
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