Texas Shootout  Memorabilia Order Form

Name:_________________________________
Street Address:______________________________________________________
City:__________________________State:________________________________
Phone Number: (           )_______________________________________________
Email Address:_______________________________________________________

Merchandise:
Mini-Poster, Texas Shootout I (10x16) $9.95..........Quantity____Price__________
Mini-Poster, Texas Shootout II (10x16) $9.95.........Quantity____Price__________
Round 1 Ring Cards $9.95.......................................Quantity____Price__________
RPM Boxing caps (black w/red logo) $13.00...........Quantity____Price__________
RPM Boxing Hand Sport Towels $6.00...................Quantity____Price__________
Boxing Glove Keychain, RPM Boxing logo $3.00.....Quantity____Price__________
Original Programs from Texas Shootout II, $1.25.....Quantity____Price__________


                                                                                              Subtotal:__________

Tax $_____________ (Texas Residents Only - Multiply 8.25% by total cost of order)
Shipping and Handling $____________________ (See Chart Below)
$0.01 - $9.99 = $5.00                       $10 - $49.99 = $5.00
$50 - $99.99 = $4.00                        $100 - $199.99 = $3.00
$200 and over = $2.00

             Total Amount $_________________

Purchased by Check__________Money Order___________
                     Credit Card #__________________________
                      Type_________________     
Name of Cardholder______________________________
                      Expires___________________

Please fill out form and fax or mail back to:

RPM Boxing
204 Woodhew Drive
Attn: Dana Yarbrough
Waco, Texas 76712
FAX: (254) 741-6017