Dick's Hot Rod Carburetors

Are You Ready To Order Your Hot Rod Carburetors!?

Once you are ready to order your carburetors please fill out this work order to describe how you want your system built and then press submit at the bottom. We will then contact you for a price quote and discuss payment. We require a 50% deposit on all carburetor work to be completed. Once we have received your order and the minimum deposit we will notify you as to when you can expect the system to be completed. Thanks for visiting Dick’s Hot Rod carburetors! We’re looking forward to building your traditional tri power or hot rod carburetor system!

Order Form
  
Personal Information  Form of Payment
First Name: Cash
Last Name: Money Order
Street Address: Paypal
City: Credit Card
State: Personal Check
Zip Code:
Phone Number:
Cell Phone:
Email Address:
Vehicle Specifications    Engine Specifications
Make:    Make & Year:
Model:    Cubic Inch Displacement:
Year:    Head Modifications:
Weight:    Compression Ratio:
Exhaust Type:    Cam Duration @.050":
Transmission Type:    Cam Centerline:
Convertor Stall RPM:    Lift at the Valve:
Rear Gear Ratio:
Ignition Type:
Intake and Carburetor Details
Which intake manifold are you using?
Are you providing the intake manifold?
Would you like us to polish your intake?
How many carbs would you like to use?
Which carburetor(s) would you like to use?
Do you have rebuildable cores?
How many good cores do you have?
Do you need carb linkage?
Would you like us to install a fuel rail?
If yes, what length?
What style fuel rail?
Would you like us to install an inline fuel filter?
If Yes What Style?
What style of choke are you running?
Will you need a vacuum source?   
For Distributor? Transmission? Etc.
Do you want a PCV valve?
Which style of air cleaners would you like to run?
What is your approximate elevation?
Any additional information or comments :