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

Ray Cook
c/o Apparel Sales
867 Penland Road
Brasstown, North Carolina 28902

Please Allow 2-4 Weeks Delivery Time (Depending on Race Schedule)
NAME:(Please Print)______________________________________________________________
ADDRESS:______________________________________________________________________
CITY:________________________________________STATE_________ZIP:_______________
DAYTIME PHONE:________________________EVENING PHONE______________________
EMAIL ADDRESS:_______________________________________________________________

2009 HILLBILLY 100 WINNING REPLICA CAR

DESCRIPTION PRICE QUANTITY TOTAL
2009 Hillbilly 100 Winning Replica Car      
1:24 Scale Diecast
 $60.00 ea. __________ __________
1:64 Scale Diecast
 $15.00 ea. __________ __________

2010 RAY COOK "EYE OF THE TIGER" T-SHIRTS (BLACK)

DESCRIPTION PRICE QUANTITY TOTAL
2010 "Eye of the Tiger" T-Shirts (Black)      
Size Adult Small
 $20.00 ea. __________ __________
Size Adult Medium
 $20.00 ea. __________ __________
Size Adult Large
 $20.00 ea. __________ __________
Size Adult XL
 $20.00 ea. __________ __________
Size Adult 2XL
 $22.00 ea. SOLD OUT!!! SOLD OUT!!!
Size Adult 3XL
 $22.00 ea. __________ __________

2010 RAY COOK "SHOW-ME 100 CHAMPION" T-SHIRTS (WHITE)

DESCRIPTION PRICE QUANTITY TOTAL
2010 "Show-Me 100 Champion" T-Shirts (White)      
Size Kids 2/4
 $15.00 ea. __________ __________
Size Kids 6/8
 $15.00 ea. __________ __________
Size Kids 10/12
 $15.00 ea. __________ __________
Size Adult Small
 $20.00 ea. __________ __________
Size Adult Medium
 $20.00 ea. __________ __________
Size Adult Large
 $20.00 ea. __________ __________
Size Adult XL
 $20.00 ea. __________ __________
Size Adult 2XL
 $22.00 ea. __________ __________
Size Adult 3XL
 $22.00 ea. __________ __________

2010 RAY COOK "SHOW-ME 100 CHAMPION" T-SHIRTS (BURGANDY)

DESCRIPTION PRICE QUANTITY TOTAL
2010 "Show-Me 100 Champion" T-Shirts (Burgandy)      
Size Adult Small
 $20.00 ea. __________ __________
Size Adult Medium
 $20.00 ea. __________ __________
Size Adult Large
 $20.00 ea. __________ __________
Size Adult XL
 $20.00 ea. __________ __________
Size Adult 2XL
 $22.00 ea. __________ __________
Size Adult 3XL
 $22.00 ea. __________ __________

SHIPPING & HANDLING

Please Add $5.00 S&H to any T-Shirt Order
$5.00

GRAND TOTAL

Please Add all Total Amounts + Shipping & Handling __________
RAY COOK IS NOT RESPONSIBLE FOR LOST ORDERS OR MERCHANDISE. PLEASE SEND A CHECK OR MONEY ORDER WITH YOUR PRINTED ORDER FORM. THANK YOU FOR YOUR SUPPORT OF D&R MOTORSPORTS!!!