COMING SOON!! ONLINE SECURE ORDERING!!!
To place an order you can call us at 1-515-685-2823 with your order.  Or fax it to us at 1-515-685-2617. We take Visa/MasterCard.  Or you can email me personally at tony@dirttrackthunder.com with all your information.  You may also print out this page and mail it to us with your personal check or money order.  Remember shipping is free in the lower 48 states!! Iowa residents add 6% sales tax.

Billing Address Shipping Address
Name: Name:
Address: Address:
City: City:
State:                             Zip Code: State:                              Zip Code:
Phone: Phone:
Qty. Description of Item Part # Price Each Total Price
 
Payment Method: (circle one)

Personal Check (will be held for 10days to clear)
Money order
Visa
Master Card
Discover		 Sales Tax(Iowa Residents add 6%)
Total Due

Credit Card #_______________________ Exp. Date (Mo./Yr.)________ 
Credit Card Holder(print name)________________________________

Signature ________________________________________________

Mail to :  Dirt Track Thunder 306 Cedar St.  Slater IA 50244