Order Products Form

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Ordering Infomation & Terms Payment to be made prior to stickers being made. Payment may be made by Cheque or Electronic funds transfer for orders made online. Cash payments & Orders for karting products may be made in person at CC-Racing - 52 Tope Street. South Melbourne. Vic. Australia. or Versatile Design's retail outlet - Unit 3, 49-51 Clements Avenue. Bundoora. VIC. Orders made using the form below will be processed and you will be sent an invoice with confirmation of order and payment details. Orders will be completed usually within 1 week of receipt of payment. All dollar values in Australian Dollars. ($AUD)

Full Name:
Phone Number:
Email Address
Midget/Rookie, Junior, Senior or Title Holder:	Midget / Rookie Junior Senior State open champion (Blue plate - White number) State closed champion (Black plate - White Number) Australasian kart title holder (Red plate - White number) National champion (Green plate - Yellow number)
Kart Number:
V1 Driver Name & Numbers
Name on Sticker:
Quantity of full sets:	0 1 - $50 2 - $100 3 - $150 4 - $200 5 - $250
Quantity of Side Pod N&N:	0 5 - $35 10 - $70 15 - $105
Quantity of Nassau Panel N&N:	0 1 - $10 2 - $20 3 - $30 4 - $40 5 - $50
Quantity of Rear Plate N&N:	0 1 - $10 2 - $20 3 - $30 4 - $40 5 - $50
V2 Driver Name & Numbers *NEW PRODUCT* - Fits all sticker kits (No State/National/Australiasian Title Holders)
Name on Sticker:
Quantity of full sets:	0 1 - $25 2 - $50 3 - $75 4 - $100 5 - $125
Class:	Midget / Rookie Junior Senior
Kart Numbers
Quantity of Standard Kart Numbers ($1 per digit)	0 - RED 1 - RED 2 - RED 4 - RED 5 - RED 6 - RED 7 - RED 8 - RED 9 - RED 10 - RED 0 - BLACK 1 - BLACK 2 - BLACK 4 - BLACK 5 - BLACK 6 - BLACK 7 - BLACK 8 - BLACK 9 - BLACK 10 - BLACK
Quantity of Custom Numbers ($2 per digit)	0 - RED 1 - RED 2 - RED 4 - RED 5 - RED 6 - RED 7 - RED 8 - RED 9 - RED 10 - RED 0 - BLACK 1 - BLACK 2 - BLACK 4 - BLACK 5 - BLACK 6 - BLACK 7 - BLACK 8 - BLACK 9 - BLACK 10 - BLACK
Custom Number Font Name
Fuel Drum Products
Fuel Drum Identification Stickers Select Classes	ROTAX LEOPARD YAMAHA
Total quantity of Identification Stickers	0 1 2 3 4 5
Not Mixed Signs	0 1 2 3 4 5 MAGNETIC COREFLUTE VELCRO
Delivery Details
Delivery or Pick-up	Postage anywhere in Australia - $5 Pickup from CC-Racing 52 Tope St. South Melbourne. VIC Pickup from Versatile Design Unit 3, 49-51 Clements Avenue. Bundoora. VIC
Postal Address
State	VIC NSW TAS SA NT QLD ACT WA
Postcode
Any additional information?