ORDERING INFORMATION:
1. Print this form
2. Fill out the form (please print)
3. Then return completed form along with check or money order
(be sure to include $5 for shipping) to:Michael Lewis Racing
930 Laurel Lane
Noblesville, IN 46060
|
MICHAEL LEWIS MERCHANDISE ORDER FORM |
|||
|
ITEM |
QUANTITY |
PRICE (EACH) |
TOTAL |
| MICHAEL LEWIS RACING #40 SPRINT/#60 SILVER CROWN T-SHIRTS | |||
| Youth 14-16 | $20.00 | ||
| Adult Small | $20.00 | ||
| Adult Medium | $20.00 | ||
| Adult Large | $20.00 | ||
| Adult X-Large | $20.00 | ||
| Adult XX-Large | $20.00 | ||
| Adult XXX-Large | $20.00 | ||
| MICHAEL LEWIS RACING #11 SPRINT T-SHIRTS | |||
| Adult XXX-Large | $7.50 | ||
| Adult XXXX-Large | $7.50 | ||
| MICHAEL LEWIS RACING #11 SPRINT SWEAT SHIRTS | |||
| Adult Small | $10.00 | ||
| Adult Medium | $10.00 | ||
| Adult Large | $10.00 | ||
| Adult X-Large | $10.00 | ||
| Adult XX-Large | $10.00 | ||
| Adult XXX-Large | $10.00 | ||
| MICHAEL LEWIS RACING SWEAT SHIRTS (NAVY BLUE) | |||
| Adult Small | $25.00 | ||
| Adult Medium | $25.00 | ||
| Adult Large | $25.00 | ||
| Adult X-Large | $25.00 | ||
| Adult XX-Large | $25.00 | ||
| MICHAEL LEWIS RACING POLO SHIRTS (NAVY BLUE) | |||
| Adult Small | $25.00 | ||
| Adult Medium | $25.00 | ||
| Adult Large | $25.00 | ||
| Adult X-Large | $25.00 | ||
| Adult XX-Large | $25.00 | ||
| MICHAEL LEWIS RACING SWEAT SHIRTS (RED) | |||
| Adult Small | $25.00 | ||
| Adult Medium | $25.00 | ||
| Adult Large | $25.00 | ||
| Adult X-Large | $25.00 | ||
| Adult XX-Large | $25.00 | ||
| MICHAEL LEWIS RACING POLO SHIRTS (RED) | |||
| Adult Small | $25.00 | ||
| Adult Medium | $25.00 | ||
| Adult Large | $25.00 | ||
| Adult X-Large | $25.00 | ||
| Adult XX-Large | $25.00 | ||
| Most orders are shipped by USPS Priority Mail within 3 days after receipt of payment. | Shipping |
$5.00 |
|
|
Call us with any questions: 317-776-1640 |
TOTAL | ||
SHIPPING INFORMATION (Please Print)
Name:____________________________________________________
Address: _________________________________________________________________
City: ________________________________ State:_________ Zip:_______________
Daytime Phone:____________________
E-Mail address:_____________________________
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