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Fax / Mail-in Order Form

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  Equipment & Parts Form
    for fax or mail:




Name:   ________________________________________________________

Address:   ______________________________________________________

City, State, & Zip Code:    __________________________________________



Credit Card # :   ______________________________  Exp. Date : _________

Check one :     ___ Visa        ___ Master Card        ___ Discover



Shipping Address :  (if different from address above)

Address:   ______________________________________________________

City, State, & Zip Code:    __________________________________________



Specify method of Shipping :   (next day air, 2 day air, ground):

  _______________________________________________________________



Equipment & Parts Needed :    (add a separate page if needed)

  ________________________________________________________________

  ________________________________________________________________

  ________________________________________________________________

  ________________________________________________________________

  ________________________________________________________________


Mail this Form to:

Phone or Fax us at:

E-Mail us at: 

D&W Lawn Equipment
Post Office Box 858
La Marque, Texas 77568

(409) 938-0271 (voice)
(281) 402-1967 (fax)

dwlawn@sbcglobal.net




D&W
Lawn Equipment
3002 Gulf Freeway
Gulf Freeway at Magnolia Drive
La Marque, Texas 77568-5065
Phone: (409) 938-0271
Fax: (281) 402-1967

dwlawn@sbcglobal.net