WWW.SPEEDCITYRESIN.COM

Speed City Order Form (Minimum order $20.00)

Money orders only !!!

To Order, print this page, Fill out Form and Send To:

Scott Kapellusch
30528 Yosemite Drive
Castaic, CA. 91384

Your name :____________________________________________________

Address___________________________________________________________

City___________________________________State________Zip____________

Phone #___________________Email address ___________________________

Quantity _______ Item __________________Price Each ____ Total ________

Quantity _______ Item __________________Price Each ____ Total ________

Quantity _______ Item __________________Price Each ____ Total ________

Quantity _______ Item __________________Price Each ____ Total ________

Quantity _______ Item __________________Price Each ____ Total ________

Quantity _______ Item __________________Price Each ____ Total ________

Quantity _______ Item __________________Price Each ____ Total ________

Quantity _______ Item __________________Price Each ____ Total ________

Quantity _______ Item __________________Price Each ____ Total ________

Sub Total ................................................................... $__________

(Calif. Residents Add 9.75 %) Sales Tax ...............................$__________

Shipping & Handling ....................................................................$__________

TOTAL ............................................................................................... $__________

Any orders outside of the U.S. and Canada,

Please email us for shipping charges: skmodeler@sbcglobal.net

Shipping Chart:

Orders under $30.00--------$4.00

$30.00 to $120.00------------$8.00

$120.00 to $200................. $10.00

$200.00 or more -------- Contact for shipping costs