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Rocket City Racing Order Form
First Name :
Last Name :
Address 1 :
Address 2 :
City :
State :
Zip :
Country :

Phone :
Fax :
E-Mail Address :

Order Request
Quotation Request

Enter Items Request Below
(Quantity, Company, Item No, Description, Price)

Other Comments about Order/Request

Following submission of this form you will be contacted via E-MAIL or FAX with a list of the requested items and their total cost. (+ Shipping and FL Sales Tax if applicable)

Shipping and Handling will be added (depending on weight) Items will be shipped by UPS Ground,other means are available such as Priority Mail, RPS.
Next Day and Foreign orders Inquire...

Payment for items can be made COD CASH, COD Check with prior approval (cod $6.00 option), Or Prepaid Money Order