ORDER FORM 

Visa, MasterCard, Discover, Paypal, Cashier checks and Money orders shipped
  within 24 hours while personal checks take 7 working days to clear.
Send Paypal payments to race@racediecast.com, use the paypal website to send payment.
 
      Phone  337-457-4498      
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: 
    
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
CUSTOMER WILL PAY EXACT SHIPPING CHARGES ON OVERSIZE PACKAGES
  $ 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!

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