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

Tommy Elston Racing
824 Johnson Street
Keokuk, IA 52632

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

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

WHITE TOMMY ELSTON T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
White Tommy Elston T-Shirts      
Size Small
$12.00 __________ __________
Size Medium
$12.00 __________ __________
Size Large
$12.00 __________ __________
Size XL
$15.00 __________ __________
Size 2XL
$15.00 __________ __________

WHITE TOMMY ELSTON SWEATSHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
White Tommy Elston Sweatshirts      
Size Medium
$20.00 __________ __________
Size Large
$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 __________
TOMMY ELSTON 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 TOMMY ELSTON RACING!!!