BRC Performance

Online Order Form

Enter engine and piston specs and order pistons online.
Complete the following and click the Submit button at the bottom of this page.

Sold To:

Name (First and Last):

Your Title:

Company Name:

Address (Line 1):

Address (Line 2):

City:

State:
Zip Code (US Only):

Voice Phone #:

Fax Phone #:

E-mail Address:

Web Site Address:

Type of Business:

1. Engine

Make:

Model:

Bore:

Stroke:

Rod type:

Rod length:

Gasket:

Deck Height:

In Hole:

2. Application

Gas: Carb:

Alky: Injection:

Nitrous: Blown:

DRAG: OVAL:

PULLER: BOAT:
OTHER:

3. Pistons

No. of pistons:

No. of cylinders:

Comp distance:

Comp ratio:

Top ring:

2nd ring:

Oil ring:

4. Pins

Diameter:

Length:

Locks:

Pin Fit:

5. Heads

Make:

Model:

CCs:

Milled:

6. Valves

Intake Dia.:

Cam lift:

Duration:

Exhaust Dia.:

Cam lift:

Duration:

Special Instructions:
Instructions

Check here to receive a catalog:

After you've filled out the above form, before you submit this form to us, Click "file, print" in your web browser menu above to print a copy of this form for your records.

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