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

Bland Racing, LLC
1273 Cobb Lane
Springville, IN 47462

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

2008 WHITE SPRINT T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
White Jeff Bland, Jr. 2008 Sprint T-Shirts      
Size 14/16
 $10.00 __________ __________
Size Small
 $15.00 __________ __________
Size Medium
 $15.00 __________ __________
Size Large
 $15.00 __________ __________
Size XL
 $15.00 __________ __________
Size 2XL
 $16.00 __________ __________
Size 3XL
 $17.00 __________ __________

2006 WHITE MODIFIED T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
White Jeff Bland, Jr. 2006 Modified T-Shirts      
Size 2/4
 $8.00 __________ __________
Size 6/8
 $8.00 __________ __________
Size 10/12
 $8.00 __________ __________
Size 14/16
 $8.00 __________ __________
Size Small
 $12.00 __________ __________
Size Medium
 $12.00 __________ __________
Size Large
 $12.00 __________ __________
Size XL
 $12.00 __________ __________
Size 2XL
 $13.00 __________ __________
Size 3XL
 $13.00 __________ __________

SHIPPING & HANDLING

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

GRAND TOTAL

Please Add all Total Amounts + Shipping & Handling __________
BLAND RACING, LLC. 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 BLAND RACING, LLC!!!