Savas Tuning Systems

SAVAS TUNING SYSTEMS INC 17843 SE McLoughlin BLVD Milwaukie, OR 97267 503-653-0022

CARBURETOR REBUILDING JOB FORM

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Before we'll work on a carburetor, we require that this form be filled out. If you'd like to prepare this form in advance so that it's ready when you drop off or ship your carburetor, feel free to print out this form. Thank you!!!

If you are shipping a carburetor to us for rebuilding, insert this form securely in the box (it is a good idea to use a small plastic bag or packing slip jacket so your information form does not get torn or damaged.)

ARE YOU A NEW CUSTOMER?______________________

FIRST NAME______________________________________

LAST NAME______________________________________

ADDRESS________________________________________

CITY_________________STATE_______ZIP_____________

HOME PHONE_________________WORK PHONE________________

EMAIL ADDRESS____________________________________________

VEHICLE YEAR_________MAKE__________________MODEL_______________

ENGINE SIZE, CYLINDERS_________________

COMMENTS:_____________________________________________________
_________________________________________________________________
_________________________________________________________________
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WORK TO BE DONE?______________________________________________
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I hereby authorize the above work to be done. I have read and understand the warranty and terms located on this site (Click here to read our carburetor warranty).

AUTHORIZED BY_______________________________DATE_____________________

***CREDIT CARDS OR DEBIT CARDS ACCEPTED THROUGH PAYPAL ONLY***