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
Business or Institution
Name

Address
(No PO Boxes)

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) $2395.00 $ varies by location
  Value Combo Package
  LINE-UP & Alumanumber
$3040.00 $ varies by location
If you purchase LINE-UP and Alumanumber together, you can save $100!

Credit Card Information

Purchase Order # (P.O.)
Credit Card
Credit Card #
Expiration Date

Authorized Signature

__________________________


Address related to the Credit Card

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

DSS
Diversified Sports Specialties
2716 103rd Court NE
Blaine, MN 55449

Toll Free: 1-888-780-4441

Fax: (763)-780-1669