| Dave's HO Raceway 9317 Hudson Rd., Pittsford, Michigan 49271 Phone: 517-523-3950 |
| Name:_________________________________ Address:_______________________________ City:__________________State:____________ ZIP:_________Phone:( ) - Date: / / |
| Shipping Information $19.99 or less.............. $5.00 $20.00 - $29.99........... $6.00 $30.00 - $49.99........... $7.00 $50.00 - $74.99........... $8.00 $75.00 - $99.99........... $9.00 $100.00 - $299.99.......$10.00 Over $300.00.... Free Shiping |
| QTY STOCK # DESCRIPTION PRICE EA. TOTALS __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ TOTALS FREIGHT 6% Michigan TAX TOTAL ORDER |
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| Accepted Payments Valid Check or Money Orders, PayPal Visa or Master Card Acct. #_____________________ Exp. Date______________ |
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