SlotCar Fever, 3141 Emerson Ave. S., Minneapolis, MN  55408

Please Print this form and Mail or fax (612-234-4737)

You last ordered:   Date:
ORDER PAINT ITEMS ON THIS FORM

Note: No Minimum.
    Check, Money Order, MC or Visa only.
    Allow 1 week for delivery.
   No COD


Name:_______________________________________________

Address:_____________________________________________
                           
City:______________________________State:______________

Zip:______________________Phone:_____________________
       

 Qty  Part No  Description               Price Ea  Total    Qty  Part No  Description             Price Ea  Total  
 

 

        

 

    
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                 
               Merchandise Total  $____  _____

Total Merchandise/Shipping & Handling

 Shipping & Handling $_______________________
  (see chart at left)               (MN include in sales tax)
Subtotal  $__________________________

7% Sales Tax  $_____________
  (MN residents only)                    
Total Enclosed  $______________________________
                            No phone orders.
  Charge to : [ ] Mastercard [ ] Visa Card # __________________________________________ Exp. date __________

   Signature _________________________________________________ Daytime phone _______________________

   Your billing address_________________________________ City ___________________ State ____ Zip _______
                    
                                                                                                                        Thank you for your order!