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Online Service Request Form

Please fill out this form completely.
Dry injectors and package them carefully by wrapping each injector in a paper towel or cloth.
Be sure to keep O-rings and spacers on injectors so we can match with new ones.
Finally, enclose injectors in a sealed plastic bag.

Please note that if there is any fuel odor coming from the parcel, it will most likely not be delivered.

Name(Required)

First Name Last Name

Phone(Required)

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Make

Model

Mileage or Hours

Services Requested --(Check All That Apply)

Flow Test Only -- $10.00 Each

Complete Service -- (clean & flow, including parts)

Top Feed Injectors -- $20.00 each

Hose Feed Injectors -- $20.00 each

Replace Hose Ends -- $6.00 each

GDI & Side Feed Injectors -- $25.00 each

Mercury Optimax (air or fuel) -- $32.00 each

Evinrude E-TEC -- $40.00 each

Same Day or Walk In Express Service -- $25.00

ATV, Motorcycle, PWC (jetski) -- $35.00 each

We Do Not Service Diesel, Gm Vortec Spider & Evinrude Ficht
Shipping: $8.00: Up to 8 injectors = Small Flat Rate Priority Mail $15.00: More than 8 injectors = Medium Flat Rate Priority Mail UPS and FedEx available upon request

Insurance can be purchased for $1.40 per $100 in value. Please indicate desired insurance amount

Payment Details: (We will be contacting you for your payment info via telephone. Any other options or questions you may have can be handled at that time.)
- Thank You

Phone

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