DAC Inc - Order Form

DAC, Inc.
11877 Home Port Dr.
Maurepas, LA. 70449
Phone & FAX :
(800) 242-6612 or (225) 675-5280

WARRANTEE: We are proud of our products. If, within 30 days of shipment, you are not completely satisfied, you may return the product for a full refund.

How To Order: You may place your order by telephone or completing the form below, print it, and fax or mail it to DAC, Inc. All prices shown are U.S. dollars and all shipping charges are for continental U.S. only. Email or call for shipping costs to other locations. Please make checks and money orders payable to DAC, Inc.

First Name

Last Name

Company

Street Address

Apt. No.

City

State

Zip

Country

Telephone No.	Fax No.	Form of Payment:
		Credit Card/P.O. No:	Card Exp. Date:

Vehicle Tents
Quantity:

Note: All Tents are blue with a tan roof

Bookbags & Tote Bags
Quantity:

Personalize Bag
(Personalize label with company or program name and logo)

Bag Colors:

Navy Blue

Red

Black

Forest Green

Tote Bag Strap Colors:

White

Black

Custom Color - Specify in Comments section
Order 50 or more and choose your program colors.

Respirator Pouches
Quantity:

Note: The full and half-face respirator bags are yellow and the escape respirator bags are brown.
Custom colors available in quantities.

Did I hear you ask which tent your vehicle needs? Click below! Broadband or Dialup
Comments:	Order Total $ Sign:________________________ Date: ________ Thank You for Your Order!