Brzezinski Cylinder Head Design Form - Brzezinski Racing Products, Inc.

Please supply as much information as possible on your engine / rules combination. The more information we have the more accurate will be our recommendation and pricing. You can also download a pdf version of this form, fill it out and fax it to us by clicking here.

Fields Marked with an * are required

Name	*
E-mail Address	*
Verify E-mail Address	*
Day Phone Number

Respond By Email:
We will respond by email
if you change this to yes

Engine Size
Make of Engine Other
Type of Head Required Other

Name of Class you are Running
Type of Racing
Track Length
Track Surface
Track Banking

Vehicle Weight
RPM Range
RPM Limit Rule
Carb Used

Intake Manifold
Specific Intake Required
Exhaust
Pistons

Compression Ratio Rule
Chamber Size Rule
Valve Size Rule
Engine Vacuum Rule
Cranking Compression Rule
Intake Port Size Rule

Camshaft
Lift Rule
Spring Diameter Rule
Stamped Rockers
"Ball" Rule

Screw in studs allowed
Guide Plates allowed
Must be Straight Plug

Can Heads be ported
Can Intake be ported
Will Heads be pulled

Will Intake be pulled
Will Carb be pulled
Nitrous

		I'm interested in having my heads reworked
		I'm interested in a new set of bare heads
		I'm interested in a new set of complete heads
		I'm also interested in an intake manifold

Any Other Restrictions

Other Information