racediecast.com   /   ORDER FORM
For your convenience, we accept Visa. MC & Discover
 
Visa, MasterCard, Discover and Money orders shipped
  within 24 hours while checks take 10 working days to clear.
Phone  337-457-4498        Open 7 days a week
Monday thru Friday   8:00 A.M. to 5:00 P.M. Central Time
Saturday and Sunday  12:00 A.M. to 5:00 P.M. Central Time
 
(make checks or money orders payable to:)
Circle Track Racing Inc.   127 Edmund Lane,  Eunice, La. 70535

Please Enter Your Name, Address, Phone and E-Mail Information Here
Name:
Address:

City, State, Zip:

,.
Phone: xxx-xxx-xxxx

Fax:

xxx-xxx-xxxx
E-mail:

Please Enter Your Payment Information Here

Payment Method: 
VISA  MASTER CARD  CHECK  MONEY ORDER
Name on Card:
 
Card Number: 
   
Expiration Date: 
  /  3 Digit CVC Number

 Please Fill In Your Order Here

Qty Car # Description Price Per Ext Price

Sub Total

Shipping & Handling (See Below)

Sub Total With Shipping & Handling
8.25% Sales Tax (If Applicable)
Total Amount Of Order
 
Please List Your Comments Or Special Instructions Here
         

USPS  SHIPPING & INSURANCE CHARGES

    $ 1.00 - $ 29.99 --    $8.00

     $30.00 - $54.99

--  $10.00
     $55.00- $79.99 --  $12.00
  $80.00 - $128.99 --  $14.00
$129.00 - $195.99 --  $16.00
$196.00- $289.99 --  $18.00
$290.00 - $399.99 -- $22.00
$400.00 - $549.99

--

$26.00
$ 550.00 - $749.99 -- $30.00
$ 750.00- $949.99 -- $36.00
$950.00 -$1,000.00   -- $40.00
Please use this chart for S & H charges
LOUISIANA RESIDENCE MUST ADD  8.25 % TAX

"THANK YOU" for your order - check back often for new arrivals and  HAVE A NICE DAY!

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