AFLA PRODUCTS
314-821-6037
Carburetor Kits For Your Classic                 

Work Order Form

Date: *
Company Name: *
Contact Name: *
Ordered By: *
Company Account Number:
P.O. Number:
Phone Number: *
Fax Number:
Email Address: *
Street Address: *
City: *
State:
Zip Code: *  ( 5 Digits)
Tax Number:
Quantity and Kit Number
3-Kits per Line:
EXAMPLE:
2-1009, 4-2021, 12-3056

*
Shipping Requirements: *
Referred By:
Comments:
AFLA Products Is a Manufacturer of Carburetor Kits Located in the United States of America. Kits may only be purchased by an AFLA Approved Distributer. 

If you are not an AFLA Approved Distributer and would like to purchase a kit, Please fill out the form on the Contact Page and we will email you a local Distributer's contact information 
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