Jet Custom Carburetor Specification Form



Please fill out this form completely. If any of the below systems we ask for are stock simply answer "stock".

Please Check One
	I want to order a JET carburetor for the following vehicle specifications.
	I want my existing carburetor rebuilt for the following vehicle specifications.
	I want to order a JET rebuild kit for my carburetor to match the following vehicle specifications.
	Please recommend the best carburetor for the following vehicle specifications.
I am interested in:

Vehicle Information
Vehicle Year:	*
Make:	*
Model:	*
Weight:
Engine Year:
Engine C.I.:
Transmission:
Gear Ratio:
Tire Size: *i.e. 245/75/16
Converter Stall Speed:
Towing Weight:

Vehicle Modifications
Intake Manifold Make & Model:
Air Intake Type:
Current Carburetor Make:
Part Number (ID #):
Airflow CFM:
Ignition System Make & Model:
Compression Ratio:
Camshaft Make:
Camshaft Lift:
Camshaft Duration @ .050 Intake:
Camshaft Duration @ .050 Exhaust:
Heads:
Intake Valve:
Exhaust Valve:
Ported:
Supercharger:
Turbo Charger:
Lbs of Boost:
Vehicle Use:
Describe Vehicle Use:
Describe Any Current Problems:

Contact Information
Name:	*
Address:
City:
State:
Zip Code:
Email Address:	*
Phone Number:	*
Mobile Number:
I understand that custom carburetors/services, due to the labor time involved, are NON REFUNDABLE FOR ANY REASON. Jet will replace or repair within the first ninety (90) days, at their discretion, any product that is determined to be defective. I have read the above conditions and agree to these terms. By filling in the "Online Signature" below, you acknowledge acceptance of this order.
Online Signature:
	*Required Field