Please Print & Fill Out Form and Return with Money Order to the Following Address:

Steve Casebolt Racing
c/o Apparel Sales
1031 Toschlog Road
Richmond, IN 47374

Please Make Money Orders Payable to: Steve Casebolt

Please Allow 2-3 Weeks Delivery Time (Depending on Availability & Race Schedule)

NAME:(Please Print)______________________________________________________________
ADDRESS:______________________________________________________________________
CITY:________________________________________STATE_________ZIP:_______________
DAYTIME PHONE:________________________EVENING PHONE______________________
EMAIL ADDRESS:_______________________________________________________________

2009 STEVE CASEBOLT HOODIE (BLACK)

DESCRIPTION PRICE QUANTITY TOTAL $
Black 2009 Steve Casebolt Hooded Sweatshirt      
Size Adult Small
$40.00 each __________ __________
Size Adult Medium
$40.00 each __________ __________
Size Adult Large
$40.00 each __________ __________
Size Adult XL
$40.00 each __________ __________
Size Adult 2XL
$40.00 each __________ __________

2009 STEVE CASEBOLT TEE (WHITE)

DESCRIPTION PRICE QUANTITY TOTAL $
White 2009 Steve Casebolt Tee      
Size Adult Small
$25.00 each __________ __________
Size Adult Medium
$25.00 each __________ __________
Size Adult Large
$25.00 each __________ __________
Size Adult XL
$25.00 each __________ __________
Size Adult 2XL
$25.00 each __________ __________
Size Adult 3XL
$25.00 each __________ __________

2009 STEVE CASEBOLT TEE (BLACK)

DESCRIPTION PRICE QUANTITY TOTAL $
Black 2009 Steve Casebolt Tee      
Size Adult Small
$25.00 each __________ __________
Size Adult Medium
$25.00 each __________ __________
Size Adult Large
$25.00 each __________ __________
Size Adult XL
$25.00 each __________ __________
Size Adult 2XL
$25.00 each __________ __________
Size Adult 3XL
$25.00 each __________ __________

2009 STEVE CASEBOLT CAN COOZIE

DESCRIPTION PRICE QUANTITY TOTAL $
Orange/Black 2009 Steve Casebolt Can Coozie      
One Size
$7.00 each __________ __________

SHIPPING & HANDLING

Please Add $7.00 S&H to Your Amount Totals
$7.00

GRAND TOTAL

Please Add all Total Amounts + Shipping & Handling __________
STEVE CASEBOLT RACING APPAREL IS NOT RESPONSIBLE FOR LOST ORDERS OR MERCHANDISE. PLEASE SEND ONLY MONEY ORDERS WITH YOUR PRINTED ORDER FORM.
THANK YOU FOR YOUR SUPPORT OF THE STEVE CASEBOLT RACING TEAM!!!