THE LAWN MOWER SHOP Parts Order Form Fill out the information below, total your order, mail or fax the form and your certified check, money order, or credit card information (Visa or Master Card only). Mail to : DIY Software Inc. Phone (803) 859-1678 6432 Calhoun Memorial Hiway Fax ( 803) 859-0666 Easley, SC 29640 Time Zone - E.S.T. Your Name ____________________________________________________________ Company _____________________________________________________________ Address _____________________________________________________________ ______________________________________________________________________ Model# ______________________________________________________________ Credit Card Info. __Visa __ MC Card#____________________________ Exp.Date____________ Signature __________________________________Phone# (____)_____________ *********************************************************** Amt Cost Total Description Part Number Ord'd Each Cost ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ Sub Total $__________ Discount $ -________ Shipping & Handling, 20% or $ 5.00 minimum $__________ ( Overpayment refunded with order ) South Carolina Residents add 5% tax $__________ Indicate Disk Format 3.5"__ 5.25"__ Total of Order $__________