Please Print & Fill Out Form and Return with Check / Money Order to the Following Address:
Bland Motorsports
c/o Apparel Sales
P.O. Box 482
Campbellsville, KY 42719
| NAME:(Please Print)______________________________________________________________ |
| ADDRESS:______________________________________________________________________ |
| CITY:________________________________________STATE_________ZIP:_______________ |
| DAYTIME PHONE:________________________EVENING PHONE______________________ |
| EMAIL ADDRESS:_______________________________________________________________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| White 2009 T-Shirt | |||
Size Adult Small |
$25.00 | __________ | __________ |
Size Adult Medium |
$25.00 | __________ | __________ |
Size Adult Large |
$25.00 | __________ | __________ |
Size Adult XL |
$25.00 | __________ | __________ |
Size Adult 2XL |
$25.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
Bland Motorsports Skull Window Decal |
$8.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
Bland Motorsports Black Can Coolies |
$5.00 | __________ | __________ |
| Please Add $5.00 S&H to your Amount Totals | $5.00 |
| Please Add all Total Amounts + Shipping & Handling | __________ |