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SWIMMING POOL COVER ORDER FORM - DS-Sewing

260 Wolcott Street New Haven, CT 06513. Voice: 203 773-1344 Fax: 203 773-1778. Date - - SWIMMING POOL COVER ORDER form . Account Info: Ship COVER UPS or customer Pick Up . Name: _____ Ship to address (different account). address : _____. City/state/zip _____ Name:_____. Phone # (_____)_____ Phone (_____)_____. Cell (_____)_____ Cell (_____)_____. Fax # (_____)_____ Fax (_____)_____. Bill to address : Credit Card: Name: _____ CC#: _____-_____-_____-_____. address : _____ Exp. Date____/____ Sec. Code _____. City/state/zip _____ Name on card_____. Phone # (_____)_____. Cell (_____)_____. Fax # (_____)_____. Pool COVER Repair ( COVER came w/bag COVER came without bag ). Mesh_____ Solid_____ see drawing attached . Instructions:_____.

SWIMMING POOL COVER ORDER FORM Account Info: Ship Cover UPS or Customer Pick Up  Name: _____ Ship to address (different account)

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  Form, Loops, Customer, Cover, Order, Address, Swimming pool cover order form, Swimming

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