High Banks Hall of Fame
National Midget Auto Racing Museum

There are two ways to order from us.

  1. PHONE us at 785-527-2526 (Credit cards accepted)
    OR
  2. MAIL your completed order form to:  (Print this order form)
    High Banks Hall of Fame, Inc.
    P.O. Box 264
    Belleville, Kansas  66935
    Phone:  785-527-
    2526
Item Name Qty. Color Size Unit Price Total
           
           
           
           
           
        Subtotal
 
        Only KS residents add 8.15% Sale Tax  
        Shipping & Handling

 

   
 
  TOTAL  

If paying by credit card, be sure to use the "name" and "billing address" as it
appears on your credit card.

Method of Payment - Check OR
Visa - Mastercard - Discover
 
Credit Card Number
 
 
Expiration Date
 
 
Name (as appears on Credit Card)
 
 
Address (as appears on Credit Card)
 
 
City, State & Zip Code
 
 
Home Phone Number
 
 
Email Address
 
 

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