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

Please send the following "Mongoose" In Stock

Please send the following Wilton and Doss In Stock

Please send the following Odd Couple in Color In Stock

Total: ________________

Please send the following High Speed Motorsports in Color In Stock

Total: ________________

Please send the following Tony Nancy in Color In Stock

Total: ________________

Please send the following Wheeler Dealer In Stock

Total: ________________

Please send the following Tommy Grove In Stock

Total: ________________

Please send the following Jungle Jim In Stock

Total: ________________

Please send the following BankAmericar 1971 In Stock

Total: ________________

Please send the following Winkle-Trapp-Glenn In Stock

Total: ________________

Please send the following Slot Racer In Stock

Total: ________________

Please send the following Garlits 1st FED In Stock

Total: ________________

Please send the following John Cox in Floyd Head's AA/FD In Stock

Total: ________________

Please send the following "SNAKE": In Stock

Total: ________________

Please send the following Doss-Clayton-King AA/FD: In Stock

Total: ________________

Please send the following Magicar: In Stock

Total: ________________

Please send the following Don Prudhomme Wynns Winder: In Stock

Total: ________________

Please send the following Abbott & Goldstein: In Stock

Total: ________________

Please send the following Crossley-Lee-Stewart: In Stock

Total: ________________

Please send the following Connie Kalitta: In Stock

Total: ________________

Please send the following Steve "The Mandrell" Carbone(s): In Stock

Total: ________________

Please send the following Baney & Prudhomme(s): In Stock

Total: ________________

Please send the following Pete Robinson(s): In Stock

Total: ________________

Please send the following Beebe & Mulligan prints(s): In Stock

Total: ________________

Please send the following "Flamin Frank" Pedregon(s): In Stock

Total: ________________

Please send the following Freight Train(s) Top Gas: In Stock

Total: ________________

Please send the following Steve Carbone prints(s): In Stock

Total: ________________

Please send the following Tony Nancy prints(s): In Stock

Total: ________________

Please send the following Kenny Safford prints(s): In Stock

Total: ________________

Please send the following Surfters prints(s): In Stock

Total: ________________

Please send the following Don Ewald prints(s): In Stock

Total: ________________

Please send the following Fuel Alterd prints(s): In Stock

Total: ________________

Please send the following Crossley-Williams-Swain AA/FD(s): In Stock

Total: ________________

Please send the following Gary Ormsby prints(s): In Stock

Total: ________________

Please send the following Don Garlits prints(s): In Stock

Total: ________________

Please send the following James Warren prints(s): In Stock

Total: ________________

Please send the following Alison, Crow & McCarrell(s): In Stock

Total: ________________

Please send the following Big John Mazmanian(s): In Stock

Total: ________________

Please send the following The Surfers(s): In Stock

Total: ________________

Please send the following Tony Nancy(s): In Stock

Total: ________________

Please send the following Steve Carbone(s): 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
Check Number: __________ (personal checks need to clear our bank before order is shipped)

Make checks payable to: Howard Hagen

Mail Order Form To:
Howard Hagen
1250 W.Grovecenter
Covina, CA 91722

E-mail: Hagen Prints

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