Please Print & Fill Out Form and Return with Check / Money Order to the Following Address:
WENDELL WALLACE APPAREL SALES
c/o Ryan Delph
2260 West CR 275 South
Vallonia, IN 47281
| NAME:(Please Print)______________________________________________________________ |
| ADDRESS:______________________________________________________________________ |
| CITY:________________________________________STATE_________ZIP:_______________ |
| DAYTIME PHONE:________________________EVENING PHONE______________________ |
| EMAIL ADDRESS:_______________________________________________________________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| 2003 Die Cast Replica Cars | |||
| 1:24 Scale |
$45.00 | __________ | __________ |
| 1:64 Scale |
$10.00 | __________ | __________ |
| 2005 Die Cast Replica Cars | |||
| 1:24 Scale |
$55.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Wendell Wallace White Logo T-Shirt (back has same logo as front, only bigger) | |||
| Medium |
$15.00 | __________ | __________ |
| Large |
$15.00 | __________ | __________ |
| X-Large |
$15.00 | __________ | __________ |
| 2X-Large |
$17.00 | __________ | __________ |
| 3X-Large |
$17.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Wendell Wallace Logo Women Tank Tops | |||
| Medium |
$15.00 | __________ | __________ |
| Large |
$15.00 | __________ | __________ |
| DESCRIPTION | PRICE | QUANTITY | TOTAL |
| Wendell Wallace #88 Window Decals | |||
| Small |
$5.00 | __________ | __________ |
| Large |
$7.00 | __________ | __________ |
| Please Add $7.00 S&H to your Amount Totals | __________ |
| Please Add all Total Amounts + Shipping & Handling | __________ |