Please Print & Fill Out Form and Return with Check / Money Order to the Following Address:

BRADY SMITH
9065 East Lake Avenue
Solon Springs, WI 54873

Please Allow 2-3 Weeks Delivery Time (Depending on Race Schedule & Availability)
If paying by check or money order, please make payable to Brady Smith & do not forget the Shipping & Handling!
SHIPPING INFORMATION: (Required)
NAME:(Please Print)______________________________________________________________
ADDRESS:______________________________________________________________________
CITY:________________________________________STATE_________ZIP:_______________
DAYTIME PHONE:________________________EVENING PHONE______________________
EMAIL ADDRESS:_______________________________________________________________

BILLING INFORMATION IF PAYING BY:
NAME ON CARD:(Please Print)______________________________________________________________
ADDRESS:______________________________________________________________________
CITY:________________________________________STATE_________ZIP:_______________
DAYTIME PHONE:________________________EVENING PHONE______________________
CREDIT CARD NUMBER:________________________________________________________
EXPIRATION DATE:_____________________CVC CODE:_____________________________

2010 ACID WASH "REAPER" T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
Acid Wash "Reaper" T-Shirts      
Size Medium
 $30.00 __________ __________
Size Large
 $30.00 __________ __________
Size XL
 $30.00 __________ __________

2010 BLACK "REAPER" T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
Black "Reaper" T-Shirts      
Size Small
 $25.00 __________ __________
Size Medium
 $25.00 __________ __________
Size Large
 $25.00 __________ __________
Size XL
 $25.00 __________ __________
Size 2XL
 $25.00 __________ __________
Size 3XL
 $25.00 __________ __________

2010 BLACK & WHITE SCOTT BLOOMQUIST RACING T-SHIRTS

DESCRIPTION PRICE BLACK QTY WHITE QTY TOTAL
Black & White Scott Bloomquist Racing T-Shirts        
Size Small
 $30.00 __________ __________ __________
Size Medium
 $30.00 __________ __________ __________
Size Large
 $30.00 __________ __________ __________
Size XL
 $30.00 __________ __________ __________
Size 2XL
 $30.00 __________ __________ __________
Size 3XL
 $30.00 __________ __________ __________

2010 BLACK "TEAM ZERO" T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
Black "Team Zero" T-Shirts      
Size Small
 $30.00 __________ __________
Size Medium
 $30.00 __________ __________
Size Large
 $30.00 __________ __________
Size XL
 $30.00 __________ __________
Size 2XL
 $30.00 __________ __________
Size 3XL
 $30.00 __________ __________

2010 CHARCOAL GRAY "TOUR DATES" T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
Charcoal Gray "Tour Dates" T-Shirts      
Size 2/4
 $20.00 __________ __________
Size 6/8
 $20.00 __________ __________
Size 10/12
 $25.00 __________ __________
Size 14/16
 $25.00 __________ __________
Size Small
 $25.00 __________ __________
Size Medium
 $25.00 __________ __________
Size Large
 $25.00 __________ __________
Size XL
 $25.00 __________ __________
Size 2XL
 $27.00 __________ __________
Size 3XL
 $28.00 SOLD OUT!!! SOLD OUT!!!
Size 4XL
 $29.00 SOLD OUT!!! SOLD OUT!!!

2010 BURGANDY "TOUR DATES" T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
Burgandy "Tour Dates" T-Shirts      
Size 2/4
 $20.00 __________ __________
Size 6/8
 $20.00 __________ __________
Size 10/12
 $25.00 __________ __________
Size 14/16
 $25.00 __________ __________
Size Small
 $25.00 __________ __________
Size Medium
 $25.00 __________ __________
Size Large
 $25.00 __________ __________
Size XL
 $25.00 __________ __________
Size 2XL
 $27.00 __________ __________
Size 3XL
 $28.00 __________ __________
Size 4XL
 $29.00 SOLD OUT!!! SOLD OUT!!!

2010 WHITE "PRODIGY SLASH" T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
White "Prodigy Slash" T-Shirts      
Size 2/4
 $20.00 __________ __________
Size 6/8
 $20.00 __________ __________
Size 10/12
 $25.00 __________ __________
Size 14/16
 $25.00 __________ __________
Size Small
 $25.00 __________ __________
Size Medium
 $25.00 __________ __________
Size Large
 $25.00 __________ __________
Size XL
 $25.00 __________ __________
Size 2XL
 $27.00 SOLD OUT!!! SOLD OUT!!!
Size 3XL
 $28.00 __________ __________
Size 4XL
 $29.00 SOLD OUT!!! SOLD OUT!!!

2010 BLACK "PRODIGY SLASH" T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
Black "Prodigy Slash" T-Shirts      
Size 2/4
 $20.00 __________ __________
Size 6/8
 $20.00 __________ __________
Size 10/12
 $25.00 __________ __________
Size 14/16
 $25.00 __________ __________
Size Small
 $25.00 __________ __________
Size Medium
 $25.00 __________ __________
Size Large
 $25.00 __________ __________
Size XL
 $25.00 __________ __________
Size 2XL
 $27.00 __________ __________
Size 3XL
 $28.00 __________ __________
Size 4XL
 $29.00 SOLD OUT!!! SOLD OUT!!!

2010 BLACK "PRODIGY SLASH" HOODED SWEATSHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
Black "Prodigy Slash" Hoodies      
Size 10/12
 $40.00 __________ __________
Size Small
 $40.00 __________ __________
Size Medium
 $40.00 __________ __________
Size Large
 $40.00 __________ __________
Size XL
 $40.00 __________ __________
Size 2XL
 $42.00 __________ __________
Size 3XL
 $43.00 __________ __________
Size 4XL
 $44.00 __________ __________

2009 CHARCOAL GRAY "DOUBLE SKULL" T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
Charcoal Gray "Double Skull" T-Shirts      
Size 14/16
 $25.00 __________ __________
Size Small
 $25.00 __________ __________
Size Medium
 $25.00 __________ __________
Size Large
 $25.00 __________ __________
Size XL
 $25.00 __________ __________
Size 2XL
 $25.00 __________ __________
Size 3XL
 $25.00 __________ __________

2009 ORANGE "DOUBLE SKULL" T-SHIRTS

DESCRIPTION PRICE QUANTITY TOTAL
Orange "Double Skull" T-Shirts      
Size Small
 $25.00 __________ __________
Size Medium
 $25.00 SOLD OUT!!! SOLD OUT!!!
Size Large
 $25.00 __________ __________
Size XL
 $25.00 __________ __________
Size 2XL
 $25.00 __________ __________
Size 3XL
 $25.00 __________ __________

BRADY SMITH HATS

DESCRIPTION PRICE QUANTITY TOTAL
Brady Smith Hats      
2010 Black/Orange/White Skull Hat
 $20.00 __________ __________
2010 Orange/Black/White Skull Mesh Hat
 $20.00 __________ __________
2009 Gray #2 Hat
 $20.00 __________ __________
2008 #2 Hat
 $10.00 __________ __________
2008 Brady Smith Hat
 $10.00 __________ __________

BRADY SMITH STICKERS

DESCRIPTION PRICE QUANTITY TOTAL
Brady Smith Stickers      
Sticker #1
 $5.00 __________ __________
Sticker #2
 $5.00 __________ __________
Sticker #3
 $5.00 __________ __________
Sticker #4
 $5.00 __________ __________
Sticker #5
 $5.00 __________ __________
Sticker #6
 $5.00 __________ __________
Sticker #7
 $5.00 __________ __________
Sticker #8 (Small)
 $5.00 __________ __________
Sticker #8 (Large)
 $7.00 __________ __________
Sticker #9
 $5.00 __________ __________
Sticker #10
 $5.00 __________ __________
Sticker #11
 $5.00 __________ __________
Sticker #12
 $5.00 __________ __________
Sticker #13
 $5.00 __________ __________
Sticker #14
 $5.00 __________ __________

MISC. ITEMS

DESCRIPTION PRICE QUANTITY TOTAL
Misc. Brady Smith Items      
Used #2 Door Panel
 $100.00 __________ __________
Used #2 Quarter Panel
 $50.00 __________ __________
Brady Smith 2009 1:24 Scale Diecast
 $60.00 __________ __________
Brady Smith 2009 1:64 Scale Diecast
 $15.00 __________ __________
2010 #2 Black Mini-Door
 $35.00 __________ __________
2010 #2 Orange Mini-Door
 $35.00 __________ __________
2010 Brady Smith Dog Tag
 $5.00 __________ __________
Brady Smith Mugs
 $5.00 __________ __________
Brady Smith Can Coolies
 $5.00 __________ __________

SHIPPING & HANDLING

Please Add $8.00 S&H to your Amount Totals
$8.00

GRAND TOTAL

Please Add all Total Amounts + Shipping & Handling __________
BRADY SMITH RACING, INC. IS NOT RESPONSIBLE FOR LOST ORDERS OR MERCHANDISE. PLEASE SEND ONLY CHECKS OR MONEY ORDERS WITH YOUR PRINTED ORDER FORM. THANK YOU FOR YOUR SUPPORT OF BRADY SMITH RACING, INC.!!!