Drag Racing Photos Mail-In
Order Form
Print
- Fill Out - Mail In
Please send me the following Items:
- DRAG NEWS ON CD
- Send me ______
Drag News "The Early Years" (Vol. 1) - 1955-1961 @
$29.95
- Send me ______
Drag News "The Golden Years" (Vol. 2) - 1962-1966 @
$49.95
- Send me ______
Drag News "More Golden Years" (Vol. 3) - 1967-1971
@ $49.95
-
- Dave Peters
DRAG RACING PRINTS & ART WORK
-
- Send me ______
"Factory Outlaws" Art Print @ $35.00
- Send me ______
"Goo$e Cooks at Riverside" Art Print @ $25.00
- Send me ______
"John "Zookeeper" Mulligan Art Print @ $25.00
- Send me ______
"Swan Song Slingshot" (Carbone) Art Print @ $25.00
- Send me ______
"Purple Haze 1967" Art Print @ $30.00
- Send me ______
"Purple Haze 1967" Artists Proof @ $60.00
- Send me ______
"Bakersfield Blues" Art Print @ $30.00
- Send me ______
"California Chargin" Art Print @ $30.00
- Send me ______
"Dandy Gates the Goat" Art Print @ $35.00
- Send me ______
"Dandy Gates the Goat" Signed Artist Proof @ $100..00
- Send me ______
"Creitz & Donovan" Art Print @ $10.00
- Send me ______
"Stone-Woods-Cook AA/GS" Art Print @ $10.00
- Send me ______
"Flying Dutchman" Art Print @ $10.00
- Send me ______
"Blain Johnson" Art Print @ $50.00
- Send me ______
"Billy The Kid" Signed Artist Proof @ $25..00
- Send me ______
"1st Christmas Tree" Art Print @ $25.00
- Send me ______
"Blue Hawaiian" Art Print @ $25.00
- Send me ______
"Paper Tiger" Art Print @ $25.00
-
- $ ____________ Total Cost of
Products Ordered
- $ ____________ Shipping &
Handling ($6.75 1-2 items -- $10.75 3 or more)
- (Canada $10.00 1-2 items --
$15.00 3 or more) (overseas - $15.00 1 item -- $25.00 2-3 items)
Total: _______________
Please allow 2 weeks for shipping.
*******************************************************************************************************
Name: _____________________________________________________________
Company: __________________________________________________________
Shipping Address: _____________________________________
City: ______________________________________________________________
State: _______________________________________
Zip Code: _____________
Mailing Address (if different):
___________________________________________
Phone (Days): ____________________
Phone (Eves): ______________________
e-mail Address: _____________________________________________________
Special Instructions:__________________________________________________
***************************************************************************************
Select Payment Type:
Check Type: ____Cashiers ____ Money Order ____ Certified
_____Personal Check
Check Number: __________________
(personal checks need to clear our bank before order is shipped)
Make checks payable to: Left Coast Web Graphics
Mail Payment & Order
Form To:
Left Coast Web Graphics
210 SW Pine St.
Grants Pass, OR 97526
(541) 955-7130
HOME