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	2035.00
EFS-4	10-400	1785.00
EFS-3A	10-300A	1125.00
Accessories - when purchased with a new Throttle Body
Right Angle Fuel Fitting w/TBI	15-009	32.00
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	28.50
Retainer, Swivel	33-005	1.25
Subtotal
Shipping, handling, insurance (US domestic) Int'l to be determined.
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

Visa, Mastercard, American Express, or Discover are accepted. An invoice will be emailed to you with lead time and link to our payment system. International orders are via wire transfer only.

Please print this form and then fax or postal mail your order to EFS directly.

Ellison-Fluid-Systems
23052H Alicia Pkwy. #395
Mission Viejo, CA. 92692

Office: 1-877-339-3412
FAX 909-906-1473

909-906-1472	Ellison-Fluid-Systems, Inc.	info@ellison-fluid-systems.com
909-906-1473 Fax	23052H Alicia Pkwy #395
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