Please Print & Fill Out Form and Return with Check / Money Order to the Following Address:
MACK RACING
c/o Joey Mack
112 E North Street
Benton, MO 63736
| NAME:(Please Print)______________________________________________________________ |
| ADDRESS:______________________________________________________________________ |
| CITY:________________________________________STATE_________ZIP:_______________ |
| DAYTIME PHONE:________________________EVENING PHONE______________________ |
| EMAIL ADDRESS:_______________________________________________________________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| T-Shirts | |||
|
Size Youth Med 10/12
|
$18.00 | __________ | __________ |
|
Size Youth Lrg 14/16
|
$18.00 | __________ | __________ |
|
Size Small
|
$18.00 | __________ | __________ |
|
Size Medium
|
$18.00 | __Sold out_ | __________ |
|
Size Large
|
$18.00 | __________ | __________ |
|
Size XL
|
$18.00 | __________ | __________ |
|
Size XXL
|
$20.00 | __Sold out__ | __________ |
Size XXXL
|
$22.00 | __Sold out__ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| T-Shirts | |||
|
Size Youth Med 10/12
|
$20.00 | __________ | __________ |
|
Size Youth Lrg 14/16
|
$20.00 | __________ | __________ |
|
Size Small
|
$20.00 | __________ | __________ |
|
Size Medium
|
$20.00 | __Sold out_ | __________ |
|
Size Large
|
$20.00 | __Sold out_ | __________ |
|
Size XL
|
$20.00 | __________ | __________ |
|
Size XXL
|
$22.00 | __Sold out_ | __________ |
Size XXXL
|
$24.00 | __Sold out_ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Diecast Cars | |||
|
Late Model 1:24 Scale
|
$60.00 | __Sold out_ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Window Decals | |||
|
4" #97M Decal
|
$3.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Refrigerator Magnets | |||
|
#97M Car Magnets
|
$3.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Buttons | |||
|
Joey Mack Button
|
$3.00 | __________ | __________ |
| Please Add $5.00 S&H to your Amount Totals |
$5.00
|
| Please Add all Total Amounts + Shipping & Handling | __________ |