Please Print & Fill Out Form and Return with a Money Order (No Personal Checks) to the Following Address:

RICK ECKERT
1761 Second Avenue
York, PA 17403

Please Allow 2-3 Weeks Delivery Time (Depending on Race Schedule)
NAME:(Please Print)______________________________________________________________
ADDRESS:______________________________________________________________________
CITY:________________________________________STATE_________ZIP:_______________
DAYTIME PHONE:________________________EVENING PHONE______________________
EMAIL ADDRESS:_______________________________________________________________

ECKERT NYLON/FLEECE COATS

DESCRIPTION PRICE QUANTITY TOTAL
Eckert Black Nylon with Gray Fleece Lining Coat      
Size XL
 $75.00 ea. __________ __________

2007 ECKERT HOODED SWEATSHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
Orange 2007 Eckert Hooded Sweatshirt      
Size Small
 $40.00 ea. __________ __________
Size Medium
 $40.00 ea. __________ __________
Size Large
 $40.00 ea. __________ __________
Size XL
 $40.00 ea. __________ __________
Size 2XL
 $40.00 ea. __________ __________
Size 3XL
 $40.00 ea. __________ __________

2007 "SCRUB" T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
White 2007 "Scrub" Short Sleeve Shirt      
Size Small
 $22.00 ea. __________ __________
Size Medium
 $22.00 ea. __________ __________
Size Large
 $22.00 ea. __________ __________
Size XL
 $22.00 ea. __________ __________
Size 2XL
 $25.00 ea. __________ __________
Size 3XL
 $25.00 ea. __________ __________
Size 4XL
 $25.00 ea. __________ __________

HATS

DESCRIPTION PRICE QUANTITY TOTAL
One Size Fits All Hats      
Orange/Black Beanie
 $15.00 ea. __________ __________
Orange Flame Hat
 $20.00 ea. __________ __________
Black Flame Hat
 $20.00 ea. __________ __________
Black Checkered Hat
 $20.00 ea. __________ __________
Black Tribal Hat
 $20.00 ea. __________ __________

DIE-CAST CARS

DESCRIPTION
 PRICE QUANTITY TOTAL
2007 1:64 Diecast #24 $15.00 ea. __________ __________
2007 1:24 Diecast #24 $60.00 ea. __________ __________
2003 1:24 Diecast #24 $50.00 ea. __________ __________

MOUSEPADS

DESCRIPTION PRICE QUANTITY TOTAL
2007 Eckert Mousepad      
One Size
 $10.00 ea. __________ __________

LICENSE PLATES

DESCRIPTION PRICE QUANTITY TOTAL
2007 Eckert License Plate      
One Size
 $12.00 ea. __________ __________

MINI-DOOR PANELS

DESCRIPTION PRICE QUANTITY TOTAL
2007 Eckert Mini-Door Panel      
One Size
 $30.00 ea. __________ __________

CAR DECALS

DESCRIPTION PRICE QUANTITY TOTAL
2007 Eckert Car Decals      
4.5" long
 $4.00 ea. __________ __________
8.5" long
 $7.00 ea. __________ __________
11.5" long
 $11.00 ea. __________ __________

#24 DECALS

DESCRIPTION PRICE QUANTITY TOTAL
2007 Eckert #24 Decals      
4.5" long
 $4.00 ea. __________ __________
10" long
 $6.00 ea. __________ __________

SHIPPING & HANDLING

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

GRAND TOTAL

Please Add all Total Amounts + Shipping & Handling __________
RICK ECKERT RACING IS NOT RESPONSIBLE FOR LOST ORDERS OR MERCHANDISE. PLEASE SEND ONLY MONEY ORDERS WITH YOUR PRINTED ORDER FORM. THANK YOU FOR YOUR SUPPORT OF RICK ECKERT RACING!!!