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Having any of the following information below will help us serve you better as a potential customer. Therefore, please print out this questionnaire, complete it, and mail or fax it back to us. Thank you.


-AIRCRAFT CONFIGURATION QUESTIONNAIRE-
Aircraft Owner:___________________________

   Address:__________________________________________________
                  __________________________________________________
                  __________________________________________________

   Phone:___________________   Fax:_____________________
   E-Mail:__________________

Aircraft Make/Model/Year:________________________________   Aircraft S/N:________________

"N" Number:__________   Engine Model:________________   Engine S/N:_________________   

(For IO-520B or BA models only - Heavy Case:   (Circle One)  YES/NO       VAR Crank:   (Circle One)  YES/NO)

Airframe Total Time:____________Hrs.   System Voltage:______Volts

Engine Total Time:____________Hrs.      Time Since Overhaul:____________Hrs.

Prop Mfr.:____________________   Prop Model:__________________   Electric Deice:  (Circle One)  YES/NO

Magnetos: (Circle One) Bendix/Slick            Impulse Coupled / Shower of Sparks

Air Conditioning Installed? (Circle One) YES/NO         Standby Vac: (Circle One) YES/NO

Engine Monitor Installed?  (Circle One)  YES/NO
    If so, Type:__________________

Digital Fuel Flow Installed?  (Circle One)  YES/NO
    If so, Type:__________________

Fuel Flow Gauge Size?  (Circle One)  2.25" / 3.125"

GPU Installed On Which Side?  (Circle One)  Right/Left

Baffle Style:  (Circle One)  Hanging/Side Trays         Baffle Trim Color:__________________

Tanis Heaters Installed?  (Circle One)  YES/NO         Tip Tanks Installed?  (Circle One)  YES/NO

Tach Drive:  (Circle One)  Mechanical / Electronic         Boost Pump:  (Circle One)  1-Speed / 2-Speed

Has New Style Engine Access Panel Louvers:  (Circle One)  YES/NO

Any Additional Airframe Or Engine Modifications?
 ______________________________________________________________________
 ______________________________________________________________________
 ______________________________________________________________________


Desired Modifications: (Please mark the applicable modifications)

"Whirlwind System II" Turbonormalizing System:____         Engine Replacement/IO-520 to IO-550 Upgrade:____

Engine Top O/H w/ Millennium cylinders:____         Magnetos/Wiring Harness:____

Built-in Oxygen System (4place or 6place):____         Tip Tanks (Osborne/D'Shannon):____

JPI 800/700:____   Fuel Flow: (YES/NO)         "Liquidair"™ Baffle Kit:____         #2 Fix:____   #6 Fix:____

Propeller:____   (Hartzell/McCauley)   Deiced: (YES/NO)         Engine Access Panel Louvers____

Paint Engine Compartment:____         Flap and Gap Seals:____         G&D Window Inserts:____         Speed Brakes:____


   Signature:____________________________   Date:_______________


Tornado Alley Turbo, Inc. 300 Airport Road Ada, Oklahoma 74820 USA
For more information, please contact:
Tim Roehl
or
Chris Vandeveer Toll-Free: (877)359-8284 Phone: (580)332-3510 Fax: (580)332-4577