| Make check payable to: |
To order please print this form
and mail with payment. |
Date:________________ |
D & D Chemical, Inc.
2065 Marion Ln.
Kinston, NC 28504
1(252)523-8255 |
To order online :
http://www.ddchem.com/Chimneydraftinducer.htm |
|
| Mail to: |
Ship to: |
Phone: |
| _____________________ |
_____________________ |
____________________ |
| _____________________ |
_____________________ |
Email: |
| _____________________ |
_____________________ |
____________________ |
| _____________________ |
_____________________ |
|
| ( )UPS
( ) US Postal Service |
Credit Card
Name______________________________ (You
may fax to 1-252-523-8255) Card Number:
________________________________
Exp: _____________ |
Products will be shipped when out of state check
have cleared our bank.
|