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