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

Please send the following Stormy Byrd In Stock

Total: ________________

Please send the following Tom McEwen In Stock

Total: ________________

Please send the following Mongoose Upclose In Stock

Total: ________________

Please send the following Adam Sorokin In Stock

Total: ________________

Please send the following Jim Nicoll 1970 Indy In Stock

Total: ________________

Please send the following Big John Funny Car (color) In Stock

Total: ________________

Please send the following Prudhommes Wynns Winder (color) In Stock

Total: ________________

Please send the following Double Eagle (B&W) In Stock

Total: ________________

Please send the following Zookeeper up close (B&W) In Stock

Total: ________________

Please send the following Shirley In Stock

Total: ________________

Please send the following Pete Robinson (B&W) In Stock

Total: ________________

Please send the following "TV Tommy" Ivo In Stock

Total: ________________

Please send the following "Shirley" In Stock

Total: ________________

Please send the following "Big Daddy" In Stock

Total: ________________

Please send the following "Mongoose" In Stock

Total: ________________

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 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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