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
| NAME:(Please Print)______________________________________________________________ |
| ADDRESS:______________________________________________________________________ |
| CITY:________________________________________STATE_________ZIP:_______________ |
| DAYTIME PHONE:________________________EVENING PHONE______________________ |
| EMAIL ADDRESS:_______________________________________________________________ |
| 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 | __________ | __________ |
| 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 | __________ | __________ |
| 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 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL $ |
| Orange/Black 2009 Steve Casebolt Can Coozie | |||
One Size |
$7.00 each | __________ | __________ |
| Please Add $7.00 S&H to Your Amount Totals | $7.00 |
| Please Add all Total Amounts + Shipping & Handling | __________ |