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.

    After you click “Submit” the form will clear but we will receive your Quote!

    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