BRC Performance

615 Industrial Avenue S.W., Live Oak, FL  32064

Phone: 800-522-7478 Fax: 386-362-7960

Email: sales@brcperformance.com

 

PLEASE CALL US AT 1-800-522-7478 IF YOU HAVE ANY QUESTIONS OR NEED HELP!

 

First Name:

City:

Last Name:

State & Zip:

Email Address:

Ship To:

Phone:

Address:

Company:

City:

Address:

State & Zip:

 

ENGINE

PISTONS

RODS

Make:

Type:    Dome   Flat Top   Dish

Provide:          Yes        No

Size:

# of pistons needed:

# of rods needed:

Finished Bore:

Cylinder #’s:

Rod type:

Stroke:

Comp height:

Rod length:

Deck Clearance:

Comp ratio:

Small end width:

Block Height:

Piston net volume:  + / -

Small end diameter:

Rod type:

RINGS

Big end width:

Rod length:

Provide:          Yes        No

Big end diameter:

Rod thickness above pin:

Ring type:

Thickness above pin:

APPLICATION

1st ring thickness:

ACCESSORIES

Gas:

1st ring radial width:

Main bearings:

Alcohol:

2nd ring thickness:

Rod bearings:

Nitrous shots or hp:

2nd ring radial width:

Other:

Carburetor:

Oil ring thickness:

COATINGS

Injected:

Oil ring radial width:

Piston top:

Blown lbs boost:

Rail ring:         Yes      No

Piston skirt:

Drag:

PINS

Main bearings:

Oval:

Provide:           Yes      No

Rod bearings:

Puller:

Type:

Counter weights:

Boat:

Diameter:

Rods:

Turbo lbs boost:

Length:

Pins:

Other:

Pin quantity:

Other:

HEADS

Fit:                   Yes      No

SPECIAL INSTRUCTIONS

Make:

Lock type:

 

Model:

Other:

 

Chamber CC’s:

CRANKSHAFTS

 

Milled:

# of cranks:

 

Head gasket thickness:

Material:

 

VALVES

Main diameter:

 

Intake angle:

Rod diameter:

 

Intake size:

Cross drill:

 

Intake lift:

Snout spec:

 

Intake duration:

Keyway spec:

 

Exhaust angle:

Through holes:

SHIPPING

Exhaust size:

Knife edge:

Ground:

Exhaust lift:

Rod length:

Next day air:

Exhaust duration:

Desired weight:

Other:

 

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.

 

  Translations may or may not work correctly, please call us toll free for correct information.