Shirley Muldowney Models & Posters Order Form

Please send this form, with payment, to:

Shirley Muldowney
P.O. Box 248
Whittaker, MI  48190


Please provide the following contact information:

Name
Street address
City State/Province
Zip/Postal code   Country
Work Phone   Home Phone
E-mail

Payment should be Check or Money Order (US Funds Only). Sorry, no credit cards please.

Shipping and Handling is $6.22 + $3.00 per additional item, for destinations within continental US.

           Please provide the following ordering information:

DESCRIPTION (all models & posters hand signed by Shirley) QTY Price Total

     Order Total

   

          Please print and send with your order!!