Digital Leveling Systems Order Form

800-472-3741


Digital Leveling Systems Order Form

How did you hear about us?

Product
New and Improved for 2014 Special Pricing
Number of Oil Levels:     ($399.50 $349.50 each)

Parts
Quantity (Display, Oil Model Only):     ($169.50 each)
Quantity (Reservoir):     ($44.50 each)
Quantity (Reel):     ($49.50 each)
Quantity (Tubing):     ($59.50 each)
Oil, Fills 1 Complete Level     ($19.50 each)

Payment Details
Card Type:
Card Number: (VISA, MasterCard only)
Expiration: Example: 0708 means July 2008 or 07/08
CVC Code: Three digit code on back
Name on Card: (Business name if applicable)
Address:
City:   State:
Zip Code:
Phone Number:     Extension:
Email Address:

Shipping Details
Shipping Options:
Name: (Business name if applicable)
Address: (No PO Boxes)
Address: (If overseas shipment please enter the address on a separate email exactly as you wish it to appear on the shipment to mike@dls7.com)
City:   State:
Zip Code:
Phone Number:     Extension:
Shipping Cost:$25 / unit or $15 for parts

Discounts
Promotion Code or Organization:

Total
Subtotal:$0.00
Shipping:$0.00
Total Cost:$0.00