Order Form

Just print out this order form and send it to BANZAI .
Call and ask about "Pay Pal" for credit cards and faster delivery.

ITEM NO.     DESCRIPTION     QUANTITY     PRICE     TOTAL

                    __________     ______________     __________     $___.___  $___.___
                    __________     ______________     __________     $___.___  $___.___
                    __________     ______________     __________     $___.___  $___.___
                    __________     ______________     __________     $___.___  $___.___
                    __________     ______________     __________     $___.___  $___.___
                    __________     ______________     __________     $___.___  $___.___
                                                                                                SUB TOTAL  $___.___
                                                                                                  SHIPPING   $    6.00
                                          California residents must add 8.25% sales tax   ___.___
                                                                                                       TOTAL   $___.___

NAME_______________________________________
ADDRESS____________________________________
CITY___________________STATE_______________
ZIP CODE_________________
PH. NO.____________________
E-MAIL____________________

SEND CHECK OR MONEY ORDER TO:

BANZAI MOTORSPORTS
719 GAILLARD ST.
GLENDORA, CA. 91740

INTERNATIONAL SALES MUST E-MAIL FOR CORRECT POSTAGE