Please Print & Fill Out Form and Return with Check / Money Order Made out to Dennis Erb to the Following Address:

Dennis Erb
c/o Web Apparel Sales
2120 Elgin Road Route 25
Carpentersville, IL 60110

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

"WINTERNATIONALS CHAMPION" 2010 SHORT SLEEVE SHIRT

DESCRIPTION PRICE QUANTITY TOTAL
Dennis Erb 2010 "Winternationals Champion" White Short Sleeve T-Shirt      
Size Kids 2/4
 $15.00 __________ __________
Size Kids 6/8
 $15.00 __________ __________
Size Adult Small
 $20.00 __________ __________
Size Adult Medium
 $20.00 __________ __________
Size Adult Large
 $20.00 __________ __________
Size Adult XL
 $20.00 __________ __________
Size Adult 2XL
 $22.00 __________ __________
Size Adult 3XL
 $23.00 __________ __________

SHIPPING & HANDLING

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

GRAND TOTAL

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