BRC Performance
615 Industrial Avenue S.W., Live Oak, FL 32064
Email: sales@brcperformance.com
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First Name:
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City:
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Last Name:
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State & Zip:
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Email Address:
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Ship To:
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Phone:
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Address:
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Company:
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City:
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Address:
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State & Zip:
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ENGINE
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PISTONS
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RODS
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Make:
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Type: Dome Flat Top Dish
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Provide: Yes No
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Size:
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# of pistons needed:
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# of rods needed:
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Finished Bore:
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Cylinder #’s:
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Rod type:
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Stroke:
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Comp height:
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Rod length:
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Deck Clearance:
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Comp ratio:
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Small end width:
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Block Height:
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Piston net volume: + / -
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Small end diameter:
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Rod type:
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RINGS |
Big end width:
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Rod length:
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Provide: Yes No
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Big end diameter:
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Rod thickness above pin:
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Ring type:
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Thickness above pin:
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APPLICATION |
1st ring thickness:
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ACCESSORIES
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Gas:
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1st ring radial width:
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Main bearings:
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Alcohol:
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2nd ring thickness:
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Rod bearings:
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Nitrous shots or hp:
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2nd ring radial width:
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Other:
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Carburetor:
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Oil ring thickness:
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COATINGS
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Injected:
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Oil ring radial width:
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Piston top:
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Blown lbs boost:
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Rail ring: Yes No
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Piston skirt:
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Drag:
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PINS
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Main bearings:
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Oval:
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Provide: Yes No
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Rod bearings:
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Puller:
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Type:
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Counter weights:
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Boat:
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Diameter:
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Rods:
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Turbo lbs boost:
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Length:
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Pins:
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Other:
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Pin quantity:
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Other:
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HEADS |
Fit: Yes No
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SPECIAL INSTRUCTIONS
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Make:
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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:
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# of cranks:
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Head gasket thickness:
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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:
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Keyway spec:
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Exhaust angle:
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Through holes:
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SHIPPING
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Exhaust size:
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Knife edge:
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Ground:
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Exhaust lift:
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Rod length:
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Next day air:
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Exhaust duration:
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Desired weight:
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Other:
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Please fax your completed order form to 386-362-7960. Or, email to: sales@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.
