Online Quote/Order Form

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.

Current build time for new carbs is 5 to 6 days, and rebuilds are running 8-12 days.
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: *

Please add my email to your mailing list.

Daytime Phone *

Evening Phone

Street Address

City

State/Prov.

Zip/Postal Code

Country (Non-USA only)

I am interested in.... *

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 *

Single 4150

Single Dominator

Dual 4150

Dual Dominator

4412

Undecided

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

Electric

Mechanical

Belt Drive

Fuel Pump GPH Rating

Transmission Type

Suspension Type

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

Yes

No No

Mufflers

Yes

No

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.)

1 1/2"	1 5/8"
1 3/4"	1 7/8"
2"	2 1/8"
2 1/4"	2 3/8"
2 1/2" 2 1/2"

Comments:

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