Please Print & Fill Out Form and Return with Check / Money Order to the Following Address:
CONLEY MOTORSPORTS, INC. APPAREL
195 Slocum Height Road
Portsmouth, OH 45662
| NAME:(Please Print)______________________________________________________________ |
| ADDRESS:______________________________________________________________________ |
| CITY:________________________________________STATE_________ZIP:_______________ |
| DAYTIME PHONE:________________________EVENING PHONE______________________ |
| EMAIL ADDRESS:_______________________________________________________________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| "3 Of A Kind" White Short Sleeve Shirt | |||
Size Small |
$20.00 | __________ | __________ |
Size Medium |
$20.00 | __________ | __________ |
Size Large |
$20.00 | __________ | __________ |
Size XL |
$20.00 | __________ | __________ |
Size XXL |
$22.00 | __________ | __________ |
| Size XXXL |
$22.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Delmas Conley "Still Going" White Short Sleeve Shirt | |||
Size Small |
$20.00 | __________ | __________ |
Size Medium |
$20.00 | __________ | __________ |
Size Large |
$20.00 | __________ | __________ |
Size XL |
$20.00 | __________ | __________ |
Size XXL |
$22.00 | __________ | __________ |
| Size XXXL |
$22.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Rod Conley "Flaming Skull" White Short Sleeve Shirt | |||
Size Small |
$20.00 | __________ | __________ |
Size Medium |
$20.00 | __________ | __________ |
Size Large |
$20.00 | __________ | __________ |
Size XL |
$20.00 | __________ | __________ |
Size XXL |
$22.00 | __________ | __________ |
| Size XXXL |
$22.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| R.J. Conley "Roller" White Short Sleeve Shirt | |||
Size Small |
$20.00 | __________ | __________ |
Size Medium |
$20.00 | __________ | __________ |
Size Large |
$20.00 | __________ | __________ |
Size XL |
$20.00 | __________ | __________ |
Size XXL |
$22.00 | __________ | __________ |
| Size XXXL |
$22.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Conley Motorsports, Inc. Diecast Cars | |||
Rod #71r 1:24 Diecast Car |
$55.00 | (sold out) | (sold out) |
Rod #71r 1:64 Diecast Car |
$16.00 | __________ | __________ |
R.J. #71c 1:24 Diecast Car |
$55.00 | __________ | __________ |
R.J. #71c 1:64 Diecast Car |
$16.00 | __________ | __________ |
Delmas #71 1:24 Diecast Car |
$55.00 | __________ | __________ |
Delmas #71 1:64 Diecast Car |
$16.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Conley Motorsports, Inc. Decals | |||
Delmas #71 Decal |
$5.00 | __________ | __________ |
Rod #71r Decal |
$5.00 | __________ | __________ |
R.J. #71c Decal |
$5.00 | __________ | __________ |
| Please Add $5.00 S&H to your Amount Totals | $5.00 |
| Please Add all Total Amounts + Shipping & Handling | __________ |