Mail Order Form
Dale Earnhardt: Rear View Mirror

 

Book CoverHardcover Book:  $28.95 US
Leather-bound Book:  $48.95 US

Print, complete and mail this page.

Illinois Residents: Add 7.25% sales tax.

Shipping & Handling
Continental US: Add $6.00 for first book and $1.00 for each additional book.
Outside Continental US: Add $7.00 for 1st book and $1.00 for each additional book.

 

Shipping Information
(all fields required except Company/Institution)
First Name _____________________
Last Name _____________________
Company/Institution _____________________
Address _____________________
City _____________________
State/Province _____________________
Zip Code _____________________
Country _____________________
Phone _____________________
Email _____________________
Billing Information
(leave blank unless not included or different from shipping info.)
First Name _____________________
Last Name _____________________
Company/Institution _____________________
Address _____________________
City _____________________
State/Province _____________________
Zip Code _____________________
Country _____________________
Phone _____________________
Email _____________________
Payment Information
Leather Bound
Quantity:
Qty ____ x $48.95 US =   ___________
Hardcover
Quantity:
and/or


Qty ____ x $28.95 US
=   ___________
---------------
Shipping (U.S.)
---------------
$6.00 for first book +
$1 per additional book
-
=   ___________
     or (Non U.S.) $7.00 + $1 peradditional book =   ___________
Sub Total      ___________
Tax (Illinois Residents) Sub Total x .0725 =   ___________
Total      ___________
Payment Type _____________________
-   Am. Express, Discover, Mastercard, VISA, Check, Money Order
Credit Card No. _____________________
Expiration Date _____________________

Make checks payable to:

     Sports Publishing Inc.

Mail your order to:

     The Earnhardt Connection
     P.O. Box 53
     Clarkston, MI 48347-053

 

Thank you for your order!



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