N.Y.S.S.C.A. YEARBOOK ORDER FORM

PLEASE PRINT THIS FORM AND MAIL TO THE ADDRESS BELOW

NAME ________________________________________________________
ADDRESS ________________________________________________________
CITY ________________________________________________________
STATE ________________________________________________________
ZIP ________________________________________________________
PHONE # ________________________________________________________
TOTAL YEARBOOKS   _______________
@  $ 10.00 EACH = $_______________
Plus Ship. & Hand.    _+_$3.00_______
Total Enclosed $_______________

PLEASE MAKE CHECK OR MONEY ORDER PAYABLE TO N.Y.S.S.C.A.

Mail to:
New York State Stock Car Association
Attn: Yearbook
10 Matthew Dr.
Castleton, NY 12033