D&L Sports Inc.
( Work Order / Order Form / Liability Waiver )
Name:_____________________________________________________    DOB:___________________
Address:_____________________________________________________________________________
City:_________________________________________   State:_______________    Zip:_____________
Telephone number (day):____________________________   (evening):___________________________
Height:_________________   Weight:_________________   Right or Left handed:__________________
Occupation: __________________________________  
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. )
Firearm:________________________________   Serial Number:________________________________
Work Description / Parts / Training / Gear Order
Cost
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Thank You
Shipping and Insurance
   _______________________
Total
   _______________________
Down payment
   _______________________
Amount due
   _______________________
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.
THIS SIGNED FORM MUST BE INCLUDED WITH EVERY ORDER
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.
D&L Sports Inc.   P.O. Box 651   Gillette, WY 82717   Phone: (307) 686-4008   Fax: (307) 686-5093