Please Print & Fill Out Form and Return with Check / Money Order to the Following Address:
JIMMY MARS RACING APPAREL
c/o Ryan Delph
2260 West County Road 275 South
Vallonia, IN 47281
| NAME:(Please Print)______________________________________________________________ |
| ADDRESS:______________________________________________________________________ |
| CITY:________________________________________STATE_________ZIP:_______________ |
| DAYTIME PHONE:________________________EVENING PHONE______________________ |
| EMAIL ADDRESS:_______________________________________________________________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| 2007 White Short Sleeve Shirt | |||
Youth Large |
$15.00 | __________ | __________ |
Adult Small |
$15.00 | __________ | __________ |
Adult XL |
$20.00 | __________ | __________ |
Adult 3XL |
$20.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| 2004 Stacker2 White Short Sleeve Shirt | |||
Kids Size 10/12 |
$10.00 SALE! | __________ | __________ |
Kids Size 14/16 |
$10.00 SALE! | __________ | __________ |
Adult Small |
$10.00 SALE! | __________ | __________ |
Adult Medium |
$10.00 SALE! | __________ | __________ |
Adult Large |
$10.00 SALE! | __________ | __________ |
Adult XL |
$10.00 SALE! | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Jimmy Mars Diecast Cars | |||
1:24 Scale Yellow #28 2004 Replica Car |
$60.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Jimmy Mars Decals | |||
#28 Decal |
$5.00 | __________ | __________ |
MasterSbilt by Mars Decal |
$5.00 | __________ | __________ |
Jimmy's Pub Decal |
$8.00 | __________ | __________ |
Mars Racing Decal |
$8.00 | __________ | __________ |
| Please Add $6.00 S&H to your Amount Totals | $6.00 |
| Please Add all Total Amounts + Shipping & Handling | __________ |