Order Form

Before we can sell an Ellison Fluid Systems, Inc. Throttle Body Injector we must have a
signed Purchase Agreement on file.

Order Sheet and Price Information

Carburetor Model	Item Number	Price	Quantity	Amount (US $)
EFS-4-5	10-500	2060.00
EFS-4	10-400	1785.00
EFS-3A	10-300A	1030.00
Accessories - when purchased with a new Throttle Body
Right Angle Fuel Fitting w/TBI	15-009	20.00
After Market		56.00
Plenum Box	91-300, 400	395.00
Cable Clamp (not available for EFS-2 or EFS-3A)	35-301, 401, 501	56.00
Airspeed Switch	90-001	80.00
Swivel Fitting	14-003	9.00
Retainer, Swivel	33-005	.15
Subtotal
Shipping, handling, insurance (US domestic)		25.00
Total Amount Enclosed

Consult this sketch and specify throttle position and orientation.

throttle_pos_diag.gif (10671 bytes)

View looking into the engine through the TBI inlet. Note that the position cannot be changed after manufacture.

A or B

Customer Information

Name
Email Name
Address
City
State/Zip
Daytime Phone
Evening Phone
Engine Brand
Engine Model
Engine Displacement
Engine Max RPM
Aircraft type

Payment Terms

Personal check on US banks (Cashier's check outside US), Visa, Mastercard, or COD are accepted.

EFS does not yet have the ability to process secure internet transactions.
Please print this form and then fax or postal mail your order to EFS directly.

Ellison-Fluid-Systems
350 Airport Way
Renton WA 98057

425-271-3220 Phone
425-277-9333 FAX

425-271-3220	Ellison-Fluid-Systems, Inc.	info@ellison-fluid-systems.com
425-277-9333 Fax	350 Airport Way
Site Map	Renton, Washington 98057	Webmaster - Sue Stevens