ORDER FORM 

Visa, MasterCard, Discover, Paypal, Cashier checks and Money orders shipped
  within 24 hours while personal checks take 5 working days to clear.
Send Paypal payments to race@racediecast.com, use the paypal website to send payment.
 
      Phone  337-457-4498      
OPEN:   Monday thru Friday:    9:00 A.M. to 5:00 P.M.   Central Standard Time
 
(Make personal, company or cashier checks or money orders payable to:)
Circle Track Racing Inc.   127 Edmund Lane,  Eunice, La. 70535
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: 
    
4 digit Expiration Date: 
    3 digit CVC Number:  

 Please Fill In Your Order Below
In Description (ONLY need Driver name and item number)

Qty Car # Driver Name & Item Number  Price Per Ext Price

Sub Total

Shipping & Handling (See Below)
Sub Total With Shipping & Handling
8.7% Sales Tax (Louisiana residents only)
Total Amount Of Order
Please List Your Comments Or Special Instructions Here
         
 

"USA ONLY"   USPS  PRIORITY & GROUND ADVANTAGE SHIPPING  CHARGES 
 PRICE PER PACKAGE
CUSTOMER WILL PAY EXACT SHIPPING CHARGES ON OVERSIZE PACKAGES
USPS  Ground
Advantage
3-5 DAYS		 PRIORITY
2-3 DAYS
  $ 1.00 - $24.50 $10.00  $12.00

 $24.51 - $34.50

 $11.00  $14.00
 $34.51 - $59.50 $12.00  $16.00
  $59.51 - $79.50 $13.00  $18.00
$79.51 - $129.50 $14.00  $20.00
$129.51- $219.50 $16.00  $22.00
$219.51 - $299.50 $18.00 $24.00
$299.51 - $349.50

$20.00

 $28.00
$349.51 - $449.50 $23.00 $30.00
$449.51 - $649.50 $26.00 $36.00
$649.51 - $749.50 $29.00 $40.00
$749.51 - $849.95 $36.00 $45.00
Please use this chart for S & H charges 

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

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