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:

Expiration Date:
/ 3 Digit CVC Number

Please Fill In Your Order Here

Qty	Car #	Description	Price Per	Ext Price








Sub Total
Shipping & Handling (See Below)
Sub Total With Shipping & Handling
8.25% Sales Tax (If Applicable)
Total Amount Of Order

Please List Your Comments Or Special Instructions Here



USPS PRIORITY SHIPPING CHARGES

    $ 1.00 - $ 24.99 -- $8.00

     $25.00 - $34.99
-- $10.00

   $35.00- $59.99 -- $12.00

$60.00 - $119.99 -- $14.00

$120.00 - $179.99 -- $16.00

$180.00- $249.99 -- $18.00

$250.00 - $349.99 -- $22.00

$350.00 - $449.99
--
$26.00

$ 450.00 - $649.99 -- $30.00

$ 650.00- $849.99 -- $35.00

$850.00-$1,000.00 -- $40.00

$1,000.00 UP -- $45.00

Please use this chart for S & H charges
LOUISIANA RESIDENCE MUST ADD 8.25 % 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:
Expiration Date:	/ 3 Digit CVC Number

USPS PRIORITY SHIPPING CHARGES
$ 1.00 - $ 24.99	--	$8.00
$25.00 - $34.99	--	$10.00
$35.00- $59.99	--	$12.00
$60.00 - $119.99	--	$14.00
$120.00 - $179.99	--	$16.00
$180.00- $249.99	--	$18.00
$250.00 - $349.99	--	$22.00
$350.00 - $449.99	--	$26.00
$ 450.00 - $649.99	--	$30.00
$ 650.00- $849.99	--	$35.00
$850.00-$1,000.00	--	$40.00
$1,000.00 UP	--	$45.00
Please use this chart for S & H charges LOUISIANA RESIDENCE MUST ADD 8.25 % TAX