DMSports-WSMX merchandise order form
Please print out form and fax to 949.837.2206 or mail to:
DM SPORTS-WSMX STORE
26001 Corriente Ln, Mission Viejo, Ca 92691
Name_________________________________________________________
Address __________________________________ Date ________________
Phone # ( ) ________________ Fax # ( ) ___________________
Email: _________________________________________________________
Payment by (circle one): Check Money Order C.O.D. Credit Card MC Visa Discvr Credit Card # _______________________________ Exp __________
| STORE ITEM | COLOR | SIZE | STYLE | LENS | EACH PRICE | TOTAL | |
| Shipping & Sales Tax will be added upon receipt of order | $ | ||||||
| TOTAL ORDER | $ | ||||||
| Please note: confirmation & delivery time and total will be emailed or faxed to you. | |||||||
| All orders will be shipped by manufacturer | |||||||
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