ORDER FORM
MANTIQUES RESTORATION SERVICES
SPECIALIZING IN MODEL A PARTS, MAINTENANCE AND REPAIRS
MORE RECENTLY - WILL'S NEW BOOK 'I Was a NASCSAR REDNECK'
CUSTOMER:
DATE:
ADDRESS:
EMAIL ADDRESS : PHONE:
ITEM QTY
PART NO
DESCRIPTION
PRICE
TOTALS
           
1
    NASCAR REDNECK BOOK
$39.95 EA.
 
           
2
         
           
3
         
           
4
         
           
5
         
           
6
         
           
7
         
           
8
         
           
9
         
      SHIPPING
$8.05 EA.
 
10
         
       
SUB TOTAL
 
           
       
TOTAL
 
     
   
     
Order by Email to: wildcad@comporium.net
 
           
     
THANK YOU FOR DOING BUSINESS WITH US