Ship To: (if different from above)
Name___________________________________________________________
Street____________________________________________________________
City_________________________State_________________Zip___________
Phone (______)__________________fax (______)_______________________
Email:______________________________________
Bob Earl Racing Inc.
Quantity
Description
Price
Amount
VRC............................ Color:
Red ( __) Black (__ )
$299.00
*Wheel to be used*___________________________
Monitor
Stand.......... Color:Red
( __) Black (__ )
$99.00
G25
Shifter Mount
$45.00
Sub
total
Plus
CA. sales tax--- 7.25% (CA. residence only)
Plus
shipping
(VRC is $65 Ea. outside CA, $30 Ea. in CA This includes a $10 Charge for Packaging
materials (Monitor
Stand is $33 outside CA or $20 in Ca.)*or see below for shipping
Total Due
Payment Method: If using Paypal Print and fill out this form and
fax to us, you can pay amount using Paypal after emailing us for
our paypal account information.
Check One:
MC(__)
Visa(__) Discover(__) Check / Money Order (__) Paypal(__)
Card #:
Expiration
Month:_____ Year:_____
Name
on card:
Make
Checks or money orders payable to:
Bob Earl Racing Inc.
52 Stasia Dr., Novato Calif. 94947 707-237-2305 FAX
To
get an accurate shipping cost, click the order
button and enter your information like you are going to order online,
then after it shows the shipping just quit before you need to enter
the credit card information.