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