Aluminumradiators.com Information Request Form



We can best serve you and your vehicle, if we have the following information:

Name
Title
Company
Street Address
City
State or Province
Zip or
Postal Code
Country
Work Phone
Home Phone
Fax
E:Mail Address


Age group:  19-30     31-40    41-50    51 & Over

Please indicate how you found our web site: .......Friend      Magazine     
Internet Search  Editorial Article

How would you prefer we respond to you?
Telephone     E-mail      Fax 

I Need my parts: .......Now  .........By when?

Please tell us about your vehicle:
Make ...............    Model .............

Engine Type      Cubic Inches   ....

Horse Power      Year 
Do you Street Drive it? ........................ Do you Race it?

You require information on:

Complete System .......... .Radiators........ .. .Inter Coolers . .Engine Oil Coolers ..
Transmission Coolers.. .Recovery Tanks .Electric Fans   .Fan - Temp Controls
Complete Custom Unit 

Please provide below any additional information that will help us with fitting your vehicle with the proper parts: i.e. Frames or core support modifications.

If you are interested in having a custom radiator built for your vehicle or
in your company becoming one of our distributors in Canada....
please call Bill Kydd TOLL-FREE  @ 1 - 866 - 223 - 2665 or locally @ 519 - 223 - 4018 or E-mail


  • This page was last updated January 25, 2008.

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