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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):___________________________ |
| 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. ) |
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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 651
Gillette, WY 82717 Phone: (307) 686-4008
Fax: (307) 686-5093 |