Name:

Address:

Address(2):

State:

Zipcode:

Country:

Phone:

FAX:

E-Mail:

Shipping Address:

Shipping Address(2):

State:

Zipcode:

Country:

Business or member affiliation:
PCA Porsche Club Bravo Company Other(specify below)

There is a minimum order requirement of 4 and all orders must be in multiples of 4. However, as long as you use the same graphic design, any combination of similar styles, types, sizes or colors of garment may be used to satisfy this requirement.

Garment name:

Click here to review garments.

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)

*You can give us the account information by voice phone, FAX, or US mail.

Special requirements or instructions:

*please allow 3-5 weeks for delivery.

You may print this order form and mail to:

RaceSetter Designs

19925 Meadowood Court

Jackson, CA 95642

gregorylange@wildblue.net

(209) 257-1133 Phone

(209) 257-1144 FAX

or submit it electronically below.

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