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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