D&L Sports™ Inc.
( Work Order / Order Form / Liability Waiver )
Name:_____________________________________________________    DOB:___________________
Address:_____________________________________________________________________________
City:_________________________________________   State:_______________    Zip:_____________
Telephone number (day):____________________________   (evening):___________________________
Email: ___________________________________________
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 understand that it is my responsibility to follow all laws, gun safety, and storage rules. I understand that firearms from DLS inc will fire the round in the chamber even when the magazine is removed. 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. Custom work on your firearm my void the factory warrantee. 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. I assure D&L Sports™ Inc that I am eligible to own, and there are no laws or restrictions prohibiting me from owning what I am ordering. )
Firearm:________________________________   Serial Number:________________________________
Work Description / Parts / Training / Gear Order
Cost
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Thank You
Shipping and Insurance
   _______________________
Total
   _______________________
Down payment
   _______________________
Amount due
   _______________________
Military, agency and personal credit cards accepted.
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 4843   Chino Valley, AZ 86323    Phone: (928) 636-1726 FAX: (928) 636-1757