BookMart Mail-In Order Form
Print Out - Fill Out - Mail In (US Funds Only)

Steve Reyes - Slingshot Spectacular: (Coming December, 2007)

Total: ________________

Steve Reyes - Funny Car Fever: (IN STOCK)

Total: ________________

Fire, Nitro, Rubber, and Smoke: Bob McClurg's Drag Racing Memories: (IN STOCK)

Total: ________________

The Garlits Collection: Drag Racing's Landmark Machines: (IN STOCK)

Total: ________________

Bob McClurg "Drag Racing's Golden Age": (IN STOCK)

Total: ________________

______________________________________________

Name: ___________________________________________________________

Company: ________________________________________________________

Shipping Address: __________________________________________________

City: _____________________________________________________________

State: _______________________________________ Zip Code: _____________

Mailing Address (if different): _________________________________________

Phone (Days): ____________________ Phone (Eves): ______________________

e-mail Address: ___________________________________________________

Special Instructions:________________________________________________

Select Payment Type: (include payment with form)

Check Payment Type: _____Cashiers _____ Money Order _____ Certified Check
_____ Personal Check _____ PayPal*
Check Number: __________ (personal checks need to clear our bank before order is shipped)

Make checks payable to: Left Coast Web Graphics

Mail Order Form To:
Left Coast Web Graphics
210 SW Pine St.
Grants Pass, OR 97526

Phone: 541-955-7130    E-mail: Drag Racing Books

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