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  1. Your Contact Information
Name: 
  
Address: 
  
City: 
  
State: 
  
Zip Code: 
  
E-mail Address: 
  
  2. Interest
Chevy Big Block: 
  
Chevy Small Block: 
  
Ford: 
  
Mopar: 
  
Spec Heads: 
  
  3. To Be Used For
Drag Racing 1/4 Mile: 
  
Drag Racing 1/8 Mile: 
  
Circle Track Asphalt: 
  
Circle Track Dirt: 
  
Street: 
  
       +    =100%
Strip: 
  
Marine: 
  (How many engines?)  
Other: 
  
  4. Engine
Engine Builder: 
  
cu in: 
  
Bore: 
  
Stroke: 
 
Pistons: 
  Flat-Top  or  Dome 
Compression Ratio: 
   :1
rpm Range: 
  
  5. Cylinder Head
Manufacturer:
 
Intake Valve Size:
 
Exhaust Valve Size: 
  
Ported:
 Yes   No
Intake Port Volume:
 
  6. Induction
Carburetor Type: 
  
No. of Carburetors: 
  
cfm:  
Manifold Model: 
  
Manifold Type: 
  
Fuel Injection: 
  Yes   No
Fuel Injection Type: 
  
Blower Size:
 
No Blower:  
Turbo Boost:
 
No Turbo:  
 7. Camshaft
Roller: 
    or  Flat Tappet:
Hydraulic: 
    or  Mechanical:
Intake Lift: 
  
Intake Duration @ .050: 
  
Exhaust Duration @ .050: 
  
Exhaust Lift: 
  
Rocker Ratio: 
   :1
  8. Ignition
Manufacturer: 
  
  9. Exhaust
Headers: 
    or  Exhaust Manifolds: 
Primary Size: 
  
Pipe Diameter: 
   in
Muffler Type: 
  
Muffler Size: 
  
  10. Fuel Type
Pump Gas:    Racing Gas:    Alcohol: 
  11. Vehicle
Type: 
  
Weight: 
   lb
Transmission: 
  Automatic  Stick
Number of Gears: 
  
Rear End Gear Ratio: 
   :1 
Transmission Brake: 
  Yes  No
Stall Speed: 
  
Rear Tire Size: 
   X
  12. Nitrous
No. of Stages: 
  
hp Rating: 
   
Plate: 
  Yes    No 
Nozzle: 
  Yes    No 
  13. Other Relevant Information
  
  14. Questions for a BRODIX Technician
  
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Phone: (479) 394-1075 • Fax: (479) 394-1996 • 301 Maple • P.O. Box 1347 • Mena, Arkansas 71953
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