Mr Injector Service Form
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​Include this form in the box then send your injectors in to the address at the right. The pintle pins are easy to damage so if any of the caps are broken wrap some tape around the tip to protect it. USPS has a small flat rate box at a discount rate. Tape the box shut on the ends and flap for extra security. Bubble or paper wrap the injectors to protect them. If you want second day or overnight return service you will need to supply your own UPS or FedEx shipping return label. We don't ship internationally except for military FPO or APO addresses. 
First Name, Last Name, and or Business Name

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Return Address

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City, State, Zip

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Phone

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email

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Instructions for optional shipping insurance is $1.75 for each $100 in coverage. We will return your injectors USPS Priority for $8.75

Optional amount of insurance coverage______________________________
Payment Options - Select a payment option below
PayPal Invoice_______ Credit Card_______ Money Order Enclosed______

If paying by credit card enter your card number here

Card Number_______________________________________________________

Expiration Date_________________________ Security Code______________
Send Them To:

​Mr Injector 6280 N Government Way Unit 4
Dalton Gardens ID 83815

NOTE: We don't service diesel Injectors

Port and TBI $18.00ea (GDI) Direct Injectors $25.00ea 
Make, Model, Year, Engine

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Reason for Service 

Maintenance_______ New Engine________ Problems________

If you answered "problems" describe it in notes and comments

Notes and Comments

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Number of Injectors you are sending in for service _________________
​By filling out this form you are authorizing us to service your fuel injectors. You assume responsibility for any loss or damage done during shipping to or from Mr. Injector that is not covered by any optional shipping insurance that you purchase.