Please Print & Fill Out Form and Return with a Check or Money Order to the Following Address:

Justin Rattliff Racing
122 Cambridge Way
Campbellsville, KY 42718

Please Write Checks Payable to: Justin Rattliff

Please Allow 2-3 Weeks Delivery Time (Depending on Availability & Race Schedule)

NAME:(Please Print)______________________________________________________________
ADDRESS:______________________________________________________________________
CITY:________________________________________STATE_________ZIP:_______________
DAYTIME PHONE:________________________EVENING PHONE______________________
EMAIL ADDRESS:_______________________________________________________________

2009 "RATTLER" SHORT SLEEVE SHIRT (WHITE)

DESCRIPTION
PRICE
QUANTITY
TOTAL
2009 White "Rattler" T-Shirt
 
Kids Size 14/16
$15.00
__________
__________
Adult Size Small
$20.00
__________
__________
Adult Size Medium
$20.00
__________
__________
Adult Size Large
$20.00
__________
__________
Adult Size XL
$20.00
__________
__________
Adult Size 2XL
$20.00
__________
__________
Adult Size 3XL
$20.00
__________
__________

2009 "RATTLER" SHORT SLEEVE SHIRT (BLACK)

DESCRIPTION
PRICE
QUANTITY
TOTAL
2009 Black "Rattler" T-Shirt
 
Kids Size 14/16
$15.00
__________
__________
Adult Size Small
$20.00
__________
__________
Adult Size Medium
$20.00
__________
__________
Adult Size Large
$20.00
__________
__________
Adult Size XL
$20.00
__________
__________
Adult Size 2XL
$20.00
__________
__________
Adult Size 3XL
$20.00
__________
__________

SHIPPING & HANDLING

Please Add $5.00 S&H to your Amount Totals
$5.00

GRAND TOTAL

Please Add all Total Amounts + Shipping & Handling __________
JUSTIN RATTLIFF RACING IS NOT RESPONSIBLE FOR LOST ORDERS OR MERCHANDISE. PLEASE SEND ONLY CHECKS OR MONEY ORDERS WITH YOUR PRINTED ORDER FORM. THANK YOU FOR YOUR SUPPORT OF JUSTIN RATTLIFF AND THE #16 TEAM!!!