Order Form Send order form to ...
Simes Graphic Design, P.O. Box 782, Mandan, North Dakota 58554

---

This form should be mailed in along with your photo and payment. Please, fill out all information listed. This form may completed on screen, then printed on a printer. THIS FORM CAN NOT BE SAVED OR E-MAILED.

A proof of the back of the card will be faxed or e-mailed for approval. We will not print any card without an approval. Additional questions please call us at 1-888-457-4637.

Driver information may be sent by e-mail. Use the order form as a guideline and type all information in an e-mail message to racerart@simesgraphicdesigns.com. DO NOT SEND YOUR CREDIT CARD INFORMATION BY E-MAIL— THIS IS NOT A SECURED WEB SITE. Please call with your credit card number or fax to 1-701-663-5870.

---

Name:
Mailing Address:
Shipping Address:
Cty/St/Zip:
Phone (Day):
Phone (Night):
Fax:
E-mail address:

---

Card Size (choose one)
2.5" X 3.5" (small) 500 cards — $65.00 — Shipping $6.50 2.5" X 3.5" (small) 1000 cards — $85.00 — Shipping $6.50 5.25 X 3.5" (medium) 500 cards — 125.00 — Shipping $8.50 5.25 X 3.5" (medium) 1000 cards — 160.00 — Shipping $8.50 5" X 7" (large) 500 cards — $245.00 — Shipping $12.50 5" X 7" (large) 1000 cards — $310.00 — Shipping $12.50 8.5" X 11" (x-large) 500 cards — $580.00 — Shipping $20.00 8.5" X 11" (x-large) 1000 cards — $700.00 — Shipping $20.00

---

Card Style (Choose only one—(Style number is located on Card Style Page. Choose style by number.

#1#2 #3 #4 #5 #6

#7#8 #9 #10 #11 #12

Yes I would like a photo of the driver on the back of my trading card for $10.00 and the photo is included with my information. Yes, I also need to fill out a... Photo Release

---

Type of Payment (Please fill out this area after form is printed.)

Check (Make checks Payable to Simes Graphic Designs)
Note: Make Checks Payable to Simes Graphic Designs. Driver Photo on card is $10.00 extra. Always include shipping on our check. Sales Tax 6% (North Dakota Only)

Credit CardChoose Type: Visa Master Card American Express

Credit Card # Exp. Date

If you decide to use e-mail, please fill out all bio information in an e-mail and send to us. PLEASE DO NOT SEND ANY CREDIT CARD INFORMATION BY E-MAIL. Call us with credit card info or fax in the completed order form.

---

Driver Information / Bio For Back of Card

Please fill out the driver information below. Than print out complete form and send it along with your photos. A proof of the back of the card will be faxed or e-mailed to you for your approval. We can not print any card with out the approval. If you have any additional questions please call us at 1-888-457-4637.

---

Driver Name:
Car Number:
Occupation:
Home Town:
Home Track:
Car Type:
Body Style:
Motor:

Career Highlights

Pit Crew

DO NOT SPLIT SPONSOR NAMES ON TWO LINES

Primary Sponsors

Associate Sponsors

Other Information