MAIL-IN SERVICE REQUEST

Start with your
carburetor details.

Prepare a printable CarbBench Mail-In Information Sheet. Technical details are optional, so share what you know.

Your mail-in information

Contact & return shipping

Customer name (required)

Email (required)

Phone (required)

Reference/order number supplied by CarbBench (optional)

Street address (required)

Apartment, suite or unit (optional)

City (required)

State / territory (required)

ZIP code (required)

Country

Equipment & carburetor

Equipment type (required)

Number of carburetors (required)For linked/multi-carb assemblies, select the individual carburetor count and contact us before shipping.

Equipment make / model / year, if known (optional)

Engine information, if known (optional)

Carburetor manufacturer / model, if known (optional)

Are replacement components included? (required)

Customer complaint / symptoms (required)

Known damage or issues (optional)

Supplied rebuild kit / replacement component details (optional)

Additional notes (optional)

I understand this is carburetor-only service, I supply any replacement components, and I pay inbound and return shipping. I will confirm shipping instructions and completely drain and safely dry the carburetor before packaging. I have read and agree to the CarbBench Service Terms & Disclosures.

Please note: CarbBench may photograph or record submitted carburetors and service work for documentation, educational, and promotional purposes. Personally identifying customer information will not be intentionally published.

No intake sheet has been prepared. Complete the form and choose “Prepare printable sheet” before printing.

Review packing and shipping instructions

Start with yourcarburetor details.

Mail-In Information Sheet

Before sending

Start with your
carburetor details.