Fill this out, sign it, and pack it in the box with your injectors.
Injector Servicing & Cleaning
Injector Send-In Form
Date: ____________________
Your Info
Name
Phone
Email
Return Shipping Address
Injector Details
Vehicle Year / Make / Model
Engine
Injector Brand / Part # (if known)
Quantity 4 6 8
Fuel Type Gas E85 Race
Service Requested
Ultrasonic clean + flow test — $150 flat rate (set of 4, 6, or 8 port injectors)
Other / not sure — text us first so we can quote it
Notes

Pack This Box

This signed sheet
Injectors packed well with padding so nothing shifts in the box
No fuel rails or wiring unless we asked for them

Ship To

Hi-Rev Dyno & Engine
1285 N. Fitzgerald Ave, Ste. I
Rialto, CA 92376
Signature: ______________________________ Questions? Text or email the shop — Email Us