HOT HEADS Research & Racing, Inc. Printable Order Form

Order by Part Number (P/N) and Description. If you need more space, please continue on a separate sheet of paper.
 Catalog $5.00 Hot Heads Products  Price
 P/N 1  Part  Price
 P/N 2  Part  Price
 P/N 3  Part  Price
 P/N 4  Part  Price
 P/N 5  Part  Price
P/N 6  Part  Price
P/N 7  Part  Price

Merchandise Total: $
NC Residents Add 7 % Sales Tax: $

Shipping & Handling Costs will be added to your order total. If you would prefer to know the shipping charge before you place your order or if you are paying by check, please e-mail or phone HOT HEADS for the actual shipping costs.
Please enclose a check or money order for your total or complete the following credit card information (fax or postal mail).I authorize Hot Heads to charge my order total to my (circle one):

Account Number:

Security Code

Expiration Date:
 Authorized Signature:
 Zip or Postal Code
 Phone Number
 E-mail Address (optional):

Mail your order to: Hot Heads Research & Racing, Inc.
392 Walker's Hollow Trail, Lowgap, NC 27024
or fax to: (336) 352-3892

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