ORDERING INSTRUCTIONS:

1) Key in your information below and press the 'Submit Order' button to process your order.
2) Optionally, you may fill out this form, print it and then fax, call, or mail the completed form to order your LINE-UP Hash Mark Painting System or Alumanumber templates.
Billing Address
Purchase Order # (P.O.)
Business or Institution
Name

Address

City
State
Zip -
Phone
Email
Shipping Address (If different)
Business or Institution
Name

Address
(No PO Boxes)

City
State
Zip -
Phone
Email

Item Price S&H Quantity
Total
  LINE-UP (Only)

$895.00 $95.00
   Alumanumber (Only)
$2,495.00 TBD
       'G' (optional) $495.00 Actual amount will be
  Value Combo Package
  LINE-UP & Alumanumber

$3,290.00 reflected on the final invoice.
If you purchase LINE-UP and Alumanumber together, you can save $100!

Credit Card Information

Credit Card
Credit Card #
Expiration Date

Security Code

Name on Card

Authorized Signature

__________________________


Address related to the Credit Card

(If different)
Business or Institution
Name
Address
City
State
Zip
-
Phone
Diversified Sports Specialties
2716 103rd Court
Blaine, MN 55449


Phone: (763)-780-1669     
Fax: (763)-780-1669