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

Please Allow 2-3 Weeks Delivery Time (Depending on Race Schedule)
NAME:(Please Print)______________________________________________________________
ADDRESS:______________________________________________________________________
CITY:________________________________________STATE_________ZIP:_______________
DAYTIME PHONE:________________________EVENING PHONE______________________
EMAIL ADDRESS:_______________________________________________________________

ECKERT '10 T-SHIRT #1 (WHITE)

DESCRIPTION PRICE QUANTITY TOTAL $
White 2010 Rick Eckert T-Shirt (Style #1)      
Size 10/12
 $20.00 each __________ __________
Size 14/16
 $20.00 each __________ __________
Size Small
 $25.00 each __________ __________
Size Medium
 $25.00 each __________ __________
Size Large
 $25.00 each __________ __________
Size XL
 $25.00 each __________ __________
Size 2XL
 $25.00 each __________ __________
Size 3XL
 $25.00 each __________ __________
Size 4XL
 $25.00 each __________ __________
Size 5XL
 $25.00 each __________ __________

ECKERT '10 T-SHIRT #2 (BLACK)

DESCRIPTION PRICE QUANTITY TOTAL $
Black 2010 Rick Eckert T-Shirt (Style #2)      
Size 10/12
 $20.00 each __________ __________
Size 14/16
 $20.00 each __________ __________
Size Small
 $25.00 each __________ __________
Size Medium
 $25.00 each __________ __________
Size Large
 $25.00 each __________ __________
Size XL
 $25.00 each __________ __________
Size 2XL
 $25.00 each __________ __________
Size 3XL
 $25.00 each __________ __________
Size 4XL
 $25.00 each __________ __________
Size 5XL
 $25.00 each __________ __________

ECKERT '10 HOODED SWEATSHIRT (BLACK)

DESCRIPTION PRICE QUANTITY TOTAL $
Black 2010 Rick Eckert Hooded Sweatshirt (Style #2)      
Size Small
 $40.00 each __________ __________
Size Medium
 $40.00 each __________ __________
Size Large
 $40.00 each __________ __________
Size XL
 $40.00 each __________ __________
Size 2XL
 $40.00 each __________ __________
Size 3XL
 $40.00 each __________ __________

ECKERT '09 MERCHANDISE

DESCRIPTION PRICE QUANTITY TOTAL $
Misc. 2009 Merchandise      
Seat Cushion
 $20.00 each __________ __________
Mouse Pad
 $12.00 each __________ __________
Team Zero Window Sticker
 $5.00 each __________ __________

SHIPPING & HANDLING

Please Add $8.00 S&H to your Amount Totals
$8.00

GRAND TOTAL

Please Add all Total Amounts + Shipping & Handling __________
RICK ECKERT RACING IS NOT RESPONSIBLE FOR LOST ORDERS OR MERCHANDISE. PLEASE SEND ONLY MONEY ORDERS WITH YOUR PRINTED ORDER FORM. THANK YOU FOR YOUR SUPPORT OF RICK ECKERT RACING!!!