Forms
 

What Chuck Needs to Know:
         
Date
First Name *
Middle Initial
Last Name *
Company
Email Address *
   
   
  Address 1
  Address 2
  City
  State
  Zip Code
  Country
  Phone Number
  Fax Number
       
Are you sending a used carburetor to Chuck Nuytten?    
Yes       No      
       
If Yes, please print this form and fill out completely and send with carburetor.    
       
If No, when do you plan on purchasing?      

      Immediately

      Within 1 Month

      Within 3 Months

      Not sure, I am just inquiring

      
         
         
         
Type of Racing   If Other, Enter Here
         
Engine Brand   Cubic Inches
Static Compression Ratio   Cranking Cylinder Pressure
Brand of Cylinder Head   Modifications
Type of Intake Manifold   Modifications
         
Headers:        
Type   Primary
Collector Size   Muffler Type and Size
         
Camshaft:         
Type   Lift Intake
Duration and .050" Intake   Lift Exhaust
Lobe Center Line   Exhaust
         
Launch RPM      
Shift RPM      
Maximum RPM      
Transmission   Converter Stall
Rear Gear   Tire Size
Vehicle Weight      
Fuel Type and Grade      
         
Carburetor Model (CFM) or List Number      
     
Carburetor Rules:

If tech inspected, how is carburetor measured?

  
Type of Fuel Pump System      
Type of Regulator System      
Fuel Pressure Before Regulator   After Regulator
         
         
  * Required Information        

 

291 North F.M. 549

P.O. Box 1028

Rockwall, Texas 75087

Phone: 972-722-8333

Fax: 972-722-8904

Contact Us:

Sales

Technical Questions

Catalog Requests

Webmaster