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D&L Sports Inc. |
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( Work Order / Order Form / Liability Waiver ) |
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| Name:_____________________________________________________
DOB:___________________ |
| Address:_____________________________________________________________________________ |
| City:_________________________________________
State:_______________ Zip:_____________ |
| Telephone number (day):____________________________
(evening):___________________________ |
| Email: ___________________________________________ |
| Height:_________________ Weight:_________________
Right or Left handed:__________________ |
| Occupation: __________________________________ |
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| Signature:____________________________________________________________________________ |
| ( My work order signature is the same as my signature
on the liability waiver/hold harmless agreement posted on the D&L
Sports Inc. web site. I have read, understand, and agree to all terms
and conditions, safety requirements, and policies of D&L Sports
Inc. DLS inc reserves the right to make work order changes and additions, which may affect overall costs, in order to best complete the project at hand. All prices are subject to change without notice. A fax and / or copy of this order form is agreed upon as being the same as the original. ) |
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| Firearm:________________________________
Serial Number:________________________________ |
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Work Description / Parts / Training / Gear Order |
Cost |
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Thank You |
Shipping and Insurance |
_______________________ |
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Total |
_______________________ |
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Down payment |
_______________________ |
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Amount due |
_______________________ |
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| Only military and agency credit cards accepted. No personal credit cards. |
| Personal orders should be made by certified check or money order. |
| Personal check orders will be held until check has cleared. |
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THIS SIGNED FORM MUST BE INCLUDED WITH EVERY ORDER |
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| D&L Sports Inc does not offer direct online ordering. Send payment and this signed order form via U.S. mail, Fed Ex, or UPS. |
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D&L Sports Inc. P.O. Box 4843
Chino Valley, AZ 86323 Phone: (928) 636-1726 FAX: (928) 636-1757 |