BRC Performance
615 Industrial Avenue S.W., Live Oak, FL 32064
Email: danny@brcperformance.com
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First
Name: |
City: |
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Last
Name: |
State
& Zip: |
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Email
Address: |
Ship
To: |
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Phone: |
Address: |
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Company: |
City: |
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Address: |
State
& Zip: |
ENGINE
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PISTONS
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RODS
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Make: |
Type: Dome Flat Top Dish |
Provide: Yes No |
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Size: |
#
of pistons needed: |
#
of rods needed: |
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Finished
Bore: |
Cylinder
#’s: |
Rod
type: |
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Stroke: |
Comp
height: |
Rod
length: |
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Deck
Clearance: |
Comp
ratio: |
Small
end width: |
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Block
Height: |
Piston
net volume: + / - |
Small
end diameter: |
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Rod
type: |
RINGS |
Big
end width: |
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Rod
length: |
Provide: Yes No |
Big
end diameter: |
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Rod
thickness above pin: |
Ring
type: |
Thickness above pin:
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APPLICATION |
1st
ring thickness: |
ACCESSORIES
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Gas: |
1st
ring radial width: |
Main
bearings: |
Alcohol:
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2nd
ring thickness: |
Rod
bearings:
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Nitrous
shots or hp:
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2nd
ring radial width: |
Other:
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Carburetor: |
Oil
ring thickness: |
COATINGS
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Injected: |
Oil
ring radial width: |
Piston
top: |
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Blown
lbs boost: |
Rail
ring: Yes No |
Piston
skirt: |
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Drag: |
PINS
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Main
bearings: |
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Oval: |
Provide: Yes No |
Rod
bearings: |
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Puller: |
Type: |
Counter
weights: |
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Boat: |
Diameter: |
Rods: |
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Turbo
lbs boost: |
Length: |
Pins: |
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Other: |
Pin
quantity: |
Other:
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HEADS |
Fit: Yes No |
SPECIAL
INSTRUCTIONS
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Make: |
Lock
type: |
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Model:
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Other: |
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Chamber
CC’s:
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CRANKSHAFTS
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Milled: |
#
of cranks: |
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Head
gasket thickness: |
Material: |
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VALVES |
Main
diameter: |
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Intake
angle:
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Rod
diameter: |
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Intake
size:
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Cross
drill: |
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Intake
lift:
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Snout
spec: |
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Intake
duration: |
Keyway
spec: |
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Exhaust
angle: |
Through
holes: |
SHIPPING
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Exhaust
size: |
Knife
edge: |
Ground: |
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Exhaust
lift: |
Rod
length: |
Next
day air: |
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Exhaust
duration: |
Desired
weight: |
Other: |
Please
fax your completed order form to 386-362-7960.
Or, email to: danny@brcperformance.com,
please use the phrase
ORDER
in all caps in the subject line. Expect a phone call for confirmation of the order
and credit card information
(a
50% deposit is required on all custom orders).
Please call us toll free at 1-800-522-7478 to let us know you are
sending
the order in case it gets lost in cyberspace. Print and save a copy of this document for your records. Thank you.
