J.C. BEATTIE, JR - Fan Club
ORDER FORM:
Your J.C. Beattie, Jr Fan Club Kit includes:
Please enroll my membership as shown below: (Please Print)J.C. Beattie Jr T-Shirt
Embroidered Race Cap
Autograph Card
ATI Patch
ATI Lapel Pin
2 Race to Win Tattoos
2 ATI Decals
ATI Catalog
Name: _________________________________________________ Date of Birth: ________
Address: ___________________________________________________________________
City: __________________________________ State: _______________ Zip: ___________
Phone Number: ( ______ ) _____________________ Email: _________________________
FAN CLUB MEMBERSHIP: $23.49 ($19.99 + $3.50 Shipping & Handling)
Method of Payment: (Check One)
Check: ______ Money Order: ______ Visa: _____ Master Card: ______
MAKE CHECKS PAYABLE TO:
ATI Performance Products, Inc
Credit Card Number: ________________________ Exp.
Date: ____________
SIGNATURE: __________________________________
NOTE: Please allow 2 - 4 weeks for delivery from the date membership
forms are received.
Checks will be held an additional 5 business days prior to processing.
SEND COMPLETED ORDER FORM TO:
J.C. Beattie, Jr - Fan Club
c/o ATI Performance Racing, LLC
6747 Whitestone Road
Baltimore, MD 21207
| OFFICE USE ONLY: Date Received: ______________ Payment:_____________ |