Prop Shop LTD Order Form

northwest marine trade association

This is not an Ecommerce web site, but you can provide us with information that will allow us to better serve you in the process of doing business with us. After you submit this form, we will be in touch with you promptly. Thank you.

Contact Information

NAME:

*

EMAIL ADDRESS:

*

TELEPHONE:

*

FAX:

ADDRESS:

*

CITY:

*

STATE:

*

ZIP CODE:

*

COUNTRY:

*

Vessel Information

MANUFACTURER:

MODEL:

OVERALL LENGTH:

WATERLINE LENGTH:

BEAM:

DRAFT:

DISPLACEMENT WT:

HULL MATERIAL:

*

VESSEL USE:

*

IF COMMERCIAL TYPE:

ANTICIPATED SPEED:

CURRENT HULL SPEED:

Motor Information

MANUFACTURER:

MODEL:

INJECTORS:

MFG RATING:

HP@

RPM

RPM GOVERNED:

GEAR RATIO:

:1

NUMBER OF ENGINES:

Propeller/Impeller Information

SELECT ONE:

*

MATERIAL:

*

DIMENSION:

X

NUMBER OF BLADES:

STYLE:

PROP ROTATION:

CURRENT MAX RPM:

MAXIMUM DIAMETER:

:1

Shafting Information

SHAFT SIZE (Q.A.L):

DIAMETER:

COUPLING TYPE:

Service Needs

New Propeller (check as many as you are interested in):

Max-Prop

Mercury Marine

Typhoon

OMC

Force

Turbo

Volvo Penta

Federal

Nakashima

CJR

Power Tech

Michigan Wheel

NUMBER OF BLADES:

New Impeller (check as many as you are interested in):

Hamilton Jets

Kodiak

Reconditioned Propellers:

Yes

Other Products (check as many as you are interested in)::

PSS Shaft Seal

Shafting and Accessories

Services (check as many as you are interested in):

Propeller Repair

Impeller Repair

Dynamic Balancing

Lower Unit/Skeg Repair

Comments or Concerns:

* denotes required field