Please Print & Fill Out Form and Return with Check / Money Order Made out to Dennis Erb to the Following Address:
Dennis Erb Racing
c/o Web Apparel Sales
2120 Elgin Road Route 25
Carpentersville, IL 60110
NAME:(Please Print)______________________________________________________________ |
ADDRESS:______________________________________________________________________ |
CITY:________________________________________STATE_________ZIP:_______________ |
DAYTIME PHONE:________________________EVENING PHONE______________________ |
EMAIL ADDRESS:_______________________________________________________________ |
DESCRIPTION | PRICE | QUANTITY | TOTAL |
Dennis Erb, Jr. 2024 Blue Short Sleeve Tee | |||
Size Youth Small |
$30.00 | __________ | __________ |
Size Youth Medium |
$30.00 | __________ | __________ |
Size Youth Large |
$30.00 | __________ | __________ |
Size Adult Small |
$30.00 | __________ | __________ |
Size Adult Medium |
$30.00 | __________ | __________ |
Size Adult Large |
$30.00 | __________ | __________ |
Size Adult XL |
$30.00 | __________ | __________ |
Size Adult 2XL |
$32.00 | __________ | __________ |
Size Adult 3XL |
$33.00 | __________ | __________ |
Size Adult 4XL |
$34.00 | __________ | __________ |
Please Add $12.00 S&H to your Amount Totals |
$12.00 |
Please Add all Total Amounts + Shipping & Handling | __________ |