ORDER FORM
PRINT AND MAIL / OR FAX AT (888) 350-9875
Pay with Mastercard, Visa, American Express, Discover, Personal check or PayPal !

MASTERCARD _____             VISA____             AMERICAN EXPRESS _____

CARD NUMBER __________________________________     EXP  _____/_____

FOR VISA , MASTERCARD , DISCOVER:
AVS # (LAST THREE DIGITS IN THE SIGNATURE PANEL ON THE REVERSE OF CARD)   ____    ____     ____



FOR AMERICAN EXPRESS:
FOUR DIGIT CODE ABOVE TO THE RIGHT OF THE CARD NUMBER ON THE FRONT OF THE CARD   ____    ____    ____   ____

SIGNATURE     ___________________________________


  NAME AS IT APPEARS ON CARD: __________________________________________

  BILLING ADDRESS :                      ___________________________________________

                                 _________________________________      _______    __________
     

PLEASE NOTE THAT ALL PRICES INCLUDE UPS GROUND SHIPPING. PLEASE CALL FOR
ADDITIONAL FREIGHT CHARGES OUTSIDE OF THE CONTINENTAL US AND DUTIES.

MODEL #         QUANTITY            COST EACH            TOTAL

_______       _________        $ _________       $_________  

_______       _________        $ _________       $ _________

_______       _________        $ _________       $ _________

                                               TOTAL . . . . . . . . $ _________

DISCOUNTS AVAILABLE WHEN ORDERING (2) OR MORE OF THE SAME DISPLAY CASE

SHIP TO IF DIFFERENT FROM BILLING ADDRESS:

_______________________________________________________

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____________________________     _____     ________________

MAKE CHECKS PAYABLE TO:
MARKETING SERVICES
P.O. BOX 137    FAIRVIEW. PA.  16415

CALL TODAY :    (814) 838-3152

FAX ORDERS TO :     (888) 350-9875
CHECK HERE IF YOU WOULD LIKE A FAX ORDER CONFIRMATION SENT    ___    FAX NUMBER   _____ - _____- __________

E-MAIL US AT . . . . . . .trackside1@earthlink.net
CHECK HERE IF YOU WOULD LIKE AN EMAIL ORDER CONFIRMATION SENT ___     EMAIL  __________________________       



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