RACIN� CONNECTION, INC by 87N1D8m

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									                RACIN’ CONNECTION, INC.
                              19825B N. Cove Rd #217
                                Cornelius, NC 28031
Date _____/______/_____
      ORDER FORM : Bristol March Race Tickets
Bristol –         Number of PRICE        Total               Groups of :
March race        tickets
Location
Allison – Cup only   #                            $
race ticket
rows 54 to 62
                                      $165
Allison Cup tkt.
and ET Nationwide
tkt                                   $237
Earnhardt Terrace #                               $
weekend seats for
Saturday & Sunday
                                      $295
(You may use a CERTIFIED CHECK or MONEY ORDER for payment method/ or a credit
card ( MC/VA/DISC only – add 3%.. Don’t forget to add $25 for Fed Ex shipping )
Please add 3% to all ticket orders purchased by credit card to my credit card
MC / VA / Discover (circle one) ( NO AM EX ACCEPTED )
EXPIRATION DATE _______ 3 digit code on back of card ____________
card # _________________________________________
I understand that this order is non-cancellable.
You are authorized to charge an additional $25 for shipping unless I have provided
a Fed Ex # _____________________
I authorize the charge of $_____________ to my credit card.
_____________________________________( authorized cardholders signature)
Please ship my Overnight to: (If you are using a credit card, this must be the same
address as the credit card is billed to. )
Credit Card Billing Address :
(Name on card ) _______________________
(Business name – if applicable )_____________________________________
                     Address : ________________________________________
 _______________________________________________________________
 If this billing address is a POB, please provide a copy of the credit card and
 driver’s license and a physical street address for shipment.
 Physical street address : ________________________________________
 ____________________________________________________________
 telephone # at that address ( )____-_________
 cell phone # (       ) _____-_______________
 email address for confirmation _____________________________________
                   IF THERE IS A PROBLEM WITH THIS FAX
            PLEASE CALL (704) 896-0025              FAX (704) 896-3515
      Internet address : www.nascartours.com wendy@nascartours.com

								
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