Request Form

Application Type

Air Conditioning?


Engine Information

Engine Size (CID or liters)

# Cylinders:

8 Cyl.6 Cyl.4 Cyl.Other: (please explain under information requested)Don't KnowEngine is stockEngine is modified: (Please explain under "Information Requested." If you have an aftermarket manifold, tell us whether it is spread-bore or square bore.)

How is your vehicle used

Stock / Daily UseOff-RoadTowingHigh AltitudeStreet PerformanceRacing Only: (please explain under information requested)

Carburetor Type(s)

4 Barrel2 Barrel1 BarrelDon´t Know

Information Requested

ATTENTION: Always disconnect your battery terminals and change fuel & air filters when a new or rebuilt carburetor is installed.