Please Print & Fill Out Form and Return with a Money Order (No Personal Checks) to the Following Address:
Rick Eckert Racing
c/o Apparel Sales
1761 Second Avenue
York, PA 17403
| NAME:(Please Print)______________________________________________________________ |
| ADDRESS:______________________________________________________________________ |
| CITY:________________________________________STATE_________ZIP:_______________ |
| DAYTIME PHONE:________________________EVENING PHONE______________________ |
| EMAIL ADDRESS:_______________________________________________________________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL $ |
| White Eckert 2011 World of Outlaws Champion Tee | |||
Size Adult Small |
$25.00 each | __________ | __________ |
Size Adult Medium |
$25.00 each | __________ | __________ |
Size Adult Large |
$25.00 each | __________ | __________ |
Size Adult XL |
$25.00 each | __________ | __________ |
| Size Adult 2XL |
$25.00 each | __________ | __________ |
| Size Adult 3XL |
$25.00 each | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL $ |
| Black Eckert 2011 World of Outlaws Champion Tee | |||
Size Youth Medium |
$20.00 each | __________ | __________ |
Size Youth Large |
$20.00 each | __________ | __________ |
Size Adult Small |
$25.00 each | __________ | __________ |
Size Adult Medium |
$25.00 each | __________ | __________ |
Size Adult Large |
$25.00 each | __________ | __________ |
Size Adult XL |
$25.00 each | __________ | __________ |
| Size Adult 2XL |
$25.00 each | __________ | __________ |
| Size Adult 3XL |
$25.00 each | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL $ |
| Purple Eckert 2011 World of Outlaws Champion Tee | |||
Size Youth Medium |
$20.00 each | __________ | __________ |
Size Youth Large |
$20.00 each | __________ | __________ |
Size Adult Small |
$25.00 each | __________ | __________ |
Size Adult Medium |
$25.00 each | __________ | __________ |
Size Adult Large |
$25.00 each | __________ | __________ |
Size Adult XL |
$25.00 each | __________ | __________ |
| Size Adult 2XL |
$25.00 each | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL $ |
| Black Eckert 2011 World of Outlaws Champion Hoodie | |||
Size Youth Medium |
$35.00 each | __________ | __________ |
Size Youth Large |
$35.00 each | __________ | __________ |
Size Adult Small |
$40.00 each | __________ | __________ |
Size Adult Medium |
$40.00 each | __________ | __________ |
Size Adult Large |
$40.00 each | __________ | __________ |
Size Adult XL |
$40.00 each | __________ | __________ |
| Size Adult 2XL |
$40.00 each | __________ | __________ |
| Size Adult 3XL |
$40.00 each | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL $ |
| Purple Eckert 2011 World of Outlaws Champion Hoodie | |||
Size Youth Medium |
$35.00 each | __________ | __________ |
Size Youth Large |
$35.00 each | __________ | __________ |
Size Adult Small |
$40.00 each | __________ | __________ |
Size Adult Medium |
$40.00 each | __________ | __________ |
Size Adult Large |
$40.00 each | __________ | __________ |
Size Adult XL |
$40.00 each | __________ | __________ |
| Size Adult 2XL |
$40.00 each | __________ | __________ |
| Size Adult 3XL |
$40.00 each | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL $ |
| Gray Eckert 2011 Three Car Tee | |||
Size Youth Medium |
$20.00 each | __________ | __________ |
Size Youth Large |
$20.00 each | __________ | __________ |
Size Adult Small |
$25.00 each | __________ | __________ |
Size Adult Medium |
$25.00 each | __________ | __________ |
Size Adult Large |
$25.00 each | __________ | __________ |
Size Adult XL |
$25.00 each | __________ | __________ |
| Size Adult 2XL |
$25.00 each | __________ | __________ |
| Size Adult 3XL |
$25.00 each | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL $ |
| Gray Eckert 2011 Three Car Hoodie | |||
Size Adult Small |
$40.00 each | __________ | __________ |
Size Adult Medium |
$40.00 each | __________ | __________ |
Size Adult Large |
$40.00 each | __________ | __________ |
Size Adult XL |
$40.00 each | __________ | __________ |
| Size Adult 2XL |
$40.00 each | __________ | __________ |
| Size Adult 3XL |
$40.00 each | __________ | __________ |
| Please Add $8.00 S&H to your Amount Totals |
$8.00 |
| Please Add all Total Amounts + Shipping & Handling | __________ |