Engine Release U.S. Order Form

Personal information (All fields are required)

First name:

Last name:

Address :

City/Town:

Zip:

Telephone: Email:

Engine model:

Engine information

Our Kit calculator determines the RIGHT number of kits required for your project. Just Select the appropriate dropdown.

Total Cost of your order including S&H will be shown. We ship by U.S. Air mail Allow 10-14 Days for Delivery.

Gas Inline Engines:

Gas V-Style Engines In Vehicle:

Gas V-Style Engines Out of Vehicle:

Diesel Engines Inline:

Diesel Engines V-Style (Under 300 HP):

Diesel Engines V-Style (Over 300 HP):

Horizontal Engines

John Deere Horizontal Gas/Diesel Engines
(4 Kits per Project Regardless of Model):

Porch,VW,Continental Horizontal Gas:

Total cost

Number of kits:
Kits Cost:	$
Shpping Cost:	$

Sorry We cannot accept orders by telephone, no matter what we do, something always seems to be either missing or miss spelled in an address when taken over the phone.

Ordering By Mail: If you prefer complete the above order form print a copy and mail it to us at: B.R.T. Tech Corp. P.O. Box 615 Succ. Lachine Montreal Qc. H8S 4C3. Payment can be made by Personal Checks or “International Money Orders” Payable to (B.R.T. Tech Corp) We don’t hold orders waiting for checks to clear we ship the same day we receive your order. For Technical Support Email: Portkent@sympatico.ca Or Call: 514-386-7507

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Engine Release U.S. Order Form

Personal information (All fields are required)

Engine information

Horizontal Engines

Total cost

Number of kits:

Kits Cost:

$

Shpping Cost:

$