The Packard Motor Car Foundation

Online Store Order Form

(Please print it out and mail it to the address below.)

Sorry, we can only mail to United States Addresses.

Name _______________________________________________________

Address _____________________________________________________ (U.S. addresses only.)

City _________________________ State _____ Zip Code _____________

          Signed and Numbered fine-art print.  How many? _______ @ $225 each = $___________

                 Packard Proving Grounds Poster. How many? _______ @ $40 each = $___________

Packard Proving Grounds Caps: Tan (khaki): How many? ______ @ $20 each = $___________

                                                                White: How many? ______ @ $20 each = $___________

                                                                                                             Total order: =  $___________

Please make checks payable to: The Packard Motor Car Foundation (Allow time for checks to clear before we mail.)

or for next-day mailing,

Send your Visa, Mastercard, Discover,

 or American Express card number: ________ ________ ________ ________

Expiration Date: ___________  Name and billing address on card must match the name and address for shipping, above.

After printing out form, use your browser 'back button' to return to the website.  Thank you.