*** PLEASE PRINT AND FILL OUT FORM ***
                
                   48TH INTERNATIONAL SIX DAYS TRIAL
                      NON-AUTOGRAPHED DVD ORDER FORM


Name _____________________________________________________________

Address __________________________________________________________

City ____________________________ State ____  Zipcode_____________

Phone Number __________________  Email ___________________________


Price:  $15.00      
Free Shipping & Handling    

                                 
Qty _____ x $15.00 = $_________              


Make check or money order payable to JOHN PENTON.
US FUNDS ONLY PLEASE.  

Send form and check or money order to address below.  

John Penton
C/O Bill Smith
38236 N. Rickham Ct.
Westland, Mi 48186