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

Walters Motorsports
5011 Conger Dr.
St. Louis, MO 63128

Please Allow 1-3 Weeks Delivery Time (Depending on Race Schedule)

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NAME:(Please Print)

ADDRESS:

CITY:

STATE:

ZIP:

DAYTIME PHONE:

EVENING PHONE:

EMAIL ADDRESS:

SHANE WALTERS "2006 SPORTSMAN" T-SHIRTS

DESCRIPTION	PRICE	QUANTITY	TOTAL
New 2006 Shane Walters T-Shirt
Size Youth Medium	$10.00 ea.	__________	__________
Size Youth Large	$10.00 ea.	__________	__________
Size Adult Small	$10.00 ea.	__________	__________
Size Adult Medium	$10.00 ea.	__________	__________
Size Adult Large	$10.00 ea.	__________	__________
Size Adult XL	$10.00 ea.	__________	__________
Size Adult XXL	$12.00 ea.	__________	__________
Size Adult XXXL	$12.00 ea.	__________	__________

SHANE WALTERS WINDOW STICKERS

DESCRIPTION	PRICE	QUANTITY	TOTAL
2005 Orange Number & Name Decal	$4.00 ea.	__________	__________

AUTOGRAPH CARDS

DESCRIPTION (the card you want)	PRICE	QUANTITY	TOTAL
	FREE ea.	__________	___FREE___
	FREE ea.	__________	___FREE___
	FREE ea.	__________	___FREE___
	FREE ea.	__________	___FREE___
	FREE ea.	__________	___FREE___

SHIPPING & HANDLING

Please Add $5.00 S&H to your Amount Total

$5.00

GRAND TOTAL

Please Add all Total Amounts + $5.00 Shipping & Handling

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WALTERS MOTORSPORTS IS NOT RESPONSIBLE FOR LOST ORDERS OR MERCHANDISE. PLEASE SEND ONLY CHECK OR MONEY ORDERS WITH YOUR PRINTED ORDER FORM. THANK YOU FOR YOUR SUPPORT OF WALTERS MOTORSPORTS!!!