1. Airplane Motorglider Other:

(Name or Type)

(Manufacturer)

lbs (Max. Take-Off Weight)

sq.ft (Wing Area)

2. Engine:

(Name or Model No.)

HP @ RPM (Take-Off Power)

HP @ RPM (Max. Continous Power)

(No. of Cylinders)

(Configuration)

(Gear Ratio, if applicable)

(RPM Restrictions)

3. Performance:

Flown Calculated

KTAS @ RPM (Max. Speed at Sea Level)

KTAS @ RPM (Max. Speed at ft MSL)

ft/min @ KIAS (Best Climb Rate)

KIAS (Vne)

4. Already Tested Propeller:

(Type or Model No.)

inches (Diameter / Pitch)

(Full Throttle Static RPM)

5. Desired Propeller:

Fixed Pitch Ground Adjustable Constant Speed

If Constant Speed: Electric Hydraulic

Principally designed for: Climb Cruise Allround Aerobatics

Configuration: Tractor Pusher

Rotation (view in flight direction): Righthand Lefthand

Prop De-Ice Required: Yes No

System Voltage: VDC

inches (Max. Permissible Diameter)

(Number of Blades)

(Hub / Engine Flange Type)

Additional Comments:

6. Name / Address:

(First Name)*

(Last Name)*

(Company)

(Street)*

(Street)

(City, State)*

(ZIP-Code)*

(Country)*

(Phone No.)*

(Fax No.)

(E-mail)*

* = required fields

Important Note:
We cannot be held responsible for any flaws in design caused by the supply of wrong or faulty data!