Name:
Address:
Address(2):
State:
Zipcode:
Country:
Phone:
FAX:
E-Mail:
Shipping Address:
Shipping Address(2):
Business or member affiliation: IBM Model train club Model train business PCA Porsche club Xerox Sports Professional Other(specify below)
Garment name:
Garment description:
Garment size(s): 4 XXLarge (example)
Garment color(s): 4 Navy blue (example)
Graphic name:
Graphic description:
Graphic color:
Graphic size: Small Large
Graphic placement: Left breast front Right breast front Middle front Back
Quantity:
Method of payment (Billed): Check Master Card Visa Discover Purchase order Other (Specify below)
Special requirements or instructions:
You may print this order form and mail to:
RaceSetter Designs
5498 Spinnaker Walkway # 4
San Jose, CA 95123
(408) 226-4711 Phone
(408) 226-7501 FAX
or submit it electronically below.