Please Print & Fill Out Form and Return with Check or Money Order to the Following Address:

Halcomb Racing
405 Greding St
Bluffton, OH 45817

Please Allow 1-3 Weeks Delivery Time (Depending on Race Schedule)

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NAME:(Please Print)

ADDRESS:

CITY:

STATE:

ZIP:

DAYTIME PHONE:

EVENING PHONE:

EMAIL ADDRESS:

NEW 2006 Aaron Scott "SHORT" Sleeve Shirts

DESCRIPTION	PRICE	QUANTITY	TOTAL
Size 14-16	$10.00 ea.	__________	__________
Size Small	$10.00 ea.	__________	__________
Size Medium	$10.00 ea.	__________	__________
Size Large	$10.00 ea.	__________	__________
Size XL	$10.00 ea.	__________	__________
Size XXL	$10.00 ea.	__________	__________
Size XXXL	$10.00 ea.	__________	__________

NEW Ladies Tank Tops - Limited Supply

DESCRIPTION	PRICE	QUANTITY	TOTAL
Size Small	$15.00 ea.	__________	__________
Size Medium	$15.00 ea.	__________	__________
Size Large	$15.00 ea.	__________	__________

2006 Aaron Scott "SHORT" Sleeve Shirts

DESCRIPTION	PRICE	QUANTITY	TOTAL
Size 14-16	$10.00 ea.	__________	__________
Size Small	$10.00 ea.	__________	__________
Size Medium	$10.00 ea.	__________	__________
Size Large	$10.00 ea.	__________	__________
Size XL	$10.00 ea.	__________	__________
Size XXL	$10.00 ea.	__________	__________
Size XXXL	$10.00 ea.	__________	__________

2006 Aaron Scott "LONG" Sleeve Shirts

DESCRIPTION	PRICE	QUANTITY	TOTAL
Size Small	$23.00 ea.	__________	__________
Size Medium	$23.00 ea.	__________	__________
Size Large	$23.00 ea.	__________	__________
Size XL	$23.00 ea.	__________	__________
Size XXL	$23.00 ea.	__________	__________
Size XXXL	$23.00 ea.	__________	__________

SHIPPING & HANDLING

Please Add $5.00 S&H to your Amount Total

$5.00

GRAND TOTAL

Please Add all Total Amounts + $5.00 Shipping & Handling

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HALCOMB RACING IS NOT RESPONSIBLE FOR LOST ORDERS OR MERCHANDISE. PLEASE SEND ONLY CHECK OR MONEY ORDERS WITH YOUR PRINTED ORDER FORM. THANK YOU FOR YOUR SUPPORT TO HALCOMB RACING!!!