
374 Myrtle Street
New Bedford, Ma
Tele 508-999-1480 e-mail starracing@netzero.com Fax 508-990-1487
STAR ORDER FORM
| Ship to Name |
| Address |
| City |
| State Zip |
| Phone Number |
| Description | Size | Color | Quantity | Name for Jacket | Price Each | Total Price |
| Shipping Charge | $5.00 | |||||
| Total Due |
Please send check or money order to:
Senior Tour Auto Racers
374 Myrtle Street
New Bedford, Ma 02746
Items available in stock. Allow 1 week for delivery