Please Print & Fill Out Form and Return with a Money Order (No Personal Checks) to the Following Address:
RICK ECKERT
1761 Second Avenue
York, PA 17403
| NAME:(Please Print)______________________________________________________________ |
| ADDRESS:______________________________________________________________________ |
| CITY:________________________________________STATE_________ZIP:_______________ |
| DAYTIME PHONE:________________________EVENING PHONE______________________ |
| EMAIL ADDRESS:_______________________________________________________________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Eckert Black Nylon with Gray Fleece Lining Coat | |||
Size XL |
$75.00 ea. | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| One Size Fits All Hats | |||
Orange/Black Beanie |
$15.00 ea. | __________ | __________ |
| DESCRIPTION |
PRICE | QUANTITY | TOTAL |
| 2007 1:64 Diecast #24 | $15.00 ea. | __________ | __________ |
| 2007 1:24 Diecast #24 | $60.00 ea. | __________ | __________ |
| 2003 1:24 Diecast #24 | $50.00 ea. | __________ | __________ |
| Please Add $5.00 S&H to your Amount Totals | $5.00 |
| Please Add all Total Amounts + Shipping & Handling | __________ |