454SS North American Truck Club

ShopZone Order Form
Fill in this form in full then click the "Print This Form" at the bottom and mail to the address below

Ordered By:
Ship To:
Members Prices: Jackets $45.00 | Golf Shirts $25.00 | Hats $15.00 | T-Shirts $15.00 | Decals $8.00
Non-Members Prices: Jackets $50.00 | Golf Shirts $30.00 | Hats $20.00 | T-Shirts $20.00 | Decals $12.00 | Membership $40.00
Quantity
Item
Size
Unit Price
Shipping
Total
Subtotal
Shipping fees per item: Jackets $5.00 |Golf Shirts $3.00 | Hats $3.00 | T-shirts $3.00 | Decals $1.00 | Memberships $5.00 Shipping
Total:
Print This Form

Make Check or Money Order Payable to Eric Barber

c/o 454SS North American Truck Club
PO Box 267
Remington, Indiana 47977