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Road Race Replicas
1770 NW LUTES RD.     POULSBO, WA    98370      360-930-0707  -DO NOT FAX!!!

Name__________________________________________ Day Phone# __________________
Address_____________________________________________________________________
City_____________________________________ State___________ ZIP________________
----->Please print clearly!<----
Part No.
Qty
Car name
glass
$7-10 
chrome
$5-10 ea!
body color 
$10 (typical) 
misc.
total $
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Please allow 7-10 days on all orders; Personal checks allow 2 weeks from RECEIPT.  All orders will be shipped US Mail and Insured. Heavier orders over 1lb. (several chassis, boxes, etc.) please add $2.00 for extra weight..  Canadian order allow 2 more weeks for delivery and send$38.00 for shipping.  WASHINGTON residents only add tax with shipping - Check your local rates or call to find your rate.
All prices subject to change without notice.    $10 Minimum Order not incl. S/H/I. 
If you want RUSH service specify "ANY" under body color column for bodies.
ORDERING 5 or more FINISHED CARS w/chassis, PLEASE ADD $2 for extra weight!

         Method of payment :   _____ Check or MO  _____ Charge to my credit card 
Card No. _ _ _ _ - _ _ _ _ - _ _ _ _ - _ _ _ _
    SIGN_________________________________________ Exp. Date _________________ 

                                            VCC CODE (3 digit code on back of card) _________________

NOTES?
 
 
Sub-total  
U.S. Shipping
$7.00
ORDERING 5 or more FINISHED CARS w/chassis, PLEASE ADD $2 for extra weight!
Tax 
(WA residents only-8-9.5% - CALL) 
 
TOTAL ENCLOSED