Quote / Order Form

/Quote / Order Form
Quote / Order Form2018-06-17T18:27:11+00:00
DO NOT PRINT THIS FORM!!!
(A link to the printer friendly form is at the bottom of this page.)
  • To receive a quote or to purchase a carburetor, fill out this form leaving blank the areas you are unsure of. Submit the form and we will email or call you with a quote and or purchase information.
  • After you submit the form if you are not redirected to our website AND you do not get an email from us within 1 minute after you hit submit, then we did not get your inquiry.

Personal Information

Name *

Email Address *

Phone Number *

Street Address

City

State/Prov.

Zip/Postal Code

Country (Non-USA only)

I am interested *

I currently have... *

Technical Information

Type of Racing/Use *

Vehicle Weight

Engine Brand

Engine Cubic Inches *

Compression Ratio

Intake Manifold Brand

Intake Manifold Bolt Pattern *

Cylinder Head Type

Intake Valve Diameter

Exhaust Valve Diameter

Engine HP (or estimate)

Nitrous HP (SUBTRACT Engine HP from this figure)

Converter Stall

Track Length

Fuel Type *

Fuel Pump

Fuel Pump GPH Rating

Transmission Type

Cylinder Heads Ported (if heads have been flowed, include flow #'s in space provided)
Mufflers

Type of Camshaft

Camshaft - Intake Duration @.050

Camshaft - Exhaust Duration @.050

Camshaft - Intake Lift at Valve

Camshaft - Exhaust Lift at Valve

Lobe Separation

Header Diameter (List size for stepped header in space provided.)

Comments

Upload dyno sheets or any other spec sheets or pictures you'd like us to use to build your custom carburetor.

Don’t have an Email address OR want to go Old School? Heres a faxable form. Print it out and fax it over to us.
Printable Tech Sheet