Pinewood Derby Car Stand Order

Use this form to identify who you are, and the car stand kits you'd like to order.
Do not submit any payment information -- we will contact you to confirm the order.

IF YOU ARE UNDER AGE 18, CLICK YOUR BROWSER'S "BACK" BUTTON
AND LEAVE THIS SCREEN -- YOU ARE NOT AUTHORIZED TO PLACE
AN ORDER AND WE DO NOT COLLECT INFORMATION FROM YOUTH.
see our privacy policy

Please provide all of the following ordering information:
(incomplete information will delay processing)

QTY DESCRIPTION

I certify that I am age 18 or older
PURCHASER
Name
Address
City
State/Province
Zip/Postal Code
telephone
email address
Troop 219 Boy Scouts of America
First Presbyterian Church of Fenton
Copyright © 2004 [Troop 219]. All rights reserved.
Revised: 07/01/10