Name
_
Qty.
Rider
Address
State _ _ Zip
City
Phone (
) -
- - - - - - - - - - - -
Order Date
Payment Method:
I 0 Check or Money order enclosed (Sorry, no COD's)
I (CIRCLE ONE)
i•
: ~V1SA
_
I Card # - - - - - - -- - - - - -
Unframed
Ltd.
$105.00
Framed
Deluxe
Amount
Ltd. (Unframed Only)
$149.00
$259.00
Kevin Schwan tz @
Eddie Lawson @
Wayne Rainey @
Raymond Roche @
Randy Mamola @
Marco Lucchinelli @
Subtotal
California Resident add 6%Sales Tax
(LA County 7%Sales Tax)
I Signat ure
Exp. Date
_
(please allow 3-4 weeks for delivery) Total
I
I
Call to Order (213) 427-7433/24 Hr. Fax Order Line (213) 427-6685 or send to CN Products . P.O. Box 498 • Long Beach, CA 90801-0498
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