DIE CAST RACING COLLECTABLES

Please Enter Your Name, Address, Phone and E-Mail Information Here

Name:

Address:

City, State, Zip:
,.

Phone: xxx-xxx-xxxx

Fax:
xxx-xxx-xxxx

E-mail:

Please Enter Your Payment Information Here

Payment Method:
VISA MASTER CARD CHECK MONEY ORDER

Name on Card:

Card Number:

3 digit CVC Number:
4 digit Expiration Date:

Please Fill In Your Order Here

Qty	Car #	Description	Price Per	Ext Price








Sub Total
Shipping & Handling (See Below)
Sub Total With Shipping & Handling
8.7% Sales Tax (If Applicable)
Total Amount Of Order

Please List Your Comments Or Special Instructions Here

USA ONLY USPS PRIORITY SHIPPING CHARGES
PRICE PER PACKAGE

$ 1.00 - $24.50 -- $10.00

$24.51 - $34.50
-- $12.00

$34.51 - $59.50 -- $14.00

$59.51 - $119.50 -- $16.00

$119.51 - $179.50 -- $18.00

$179.51- $239.50 -- $20.00

$239.51 - $349.50 -- $24.00

$349.51 - $449.50
--
$28.00

$449.51 - $649.50 -- $32.00

$649.51 - $849.50 -- $36.00

$849.51 - $999.50 -- $40.00

$999.51 UP -- $46.00

Please use this chart for S & H charges
LOUISIANA RESIDENCE MUST ADD 8.7 % TAX

"THANK YOU" for your order - check back often for new arrivals and HAVE A NICE DAY!

NASCAR	INDY CARS	SPRINT CARS	DIRT CARS	DRAG CARS
BUSCH GN	HAULERS	ORDER FORM	SUPER TRUCKS	HOME

Name:
Address:
City, State, Zip:	,.
Phone:	xxx-xxx-xxxx
Fax:	xxx-xxx-xxxx
E-mail:

Payment Method:	VISA MASTER CARD CHECK MONEY ORDER
Name on Card:
Card Number:
3 digit CVC Number:	4 digit Expiration Date:

USA ONLY USPS PRIORITY SHIPPING CHARGES PRICE PER PACKAGE
$ 1.00 - $24.50	--	$10.00
$24.51 - $34.50	--	$12.00
$34.51 - $59.50	--	$14.00
$59.51 - $119.50	--	$16.00
$119.51 - $179.50	--	$18.00
$179.51- $239.50	--	$20.00
$239.51 - $349.50	--	$24.00
$349.51 - $449.50	--	$28.00
$449.51 - $649.50	--	$32.00
$649.51 - $849.50	--	$36.00
$849.51 - $999.50	--	$40.00
$999.51 UP	--	$46.00
Please use this chart for S & H charges LOUISIANA RESIDENCE MUST ADD 8.7 % TAX