The Towdster Order Form

 
Phone: 651-261-0685 or 888-330-5833
Fax: 1-567-429-5693

Thank you for choosing Farley Companies for your in-water towing needs. In addition to Internet orders, we also accept orders over the phone and via FAX. Our staff is available Monday through Saturday from 8 a.m. to 8 p.m. Central Time to take your orders and answer your questions. Call 651-261-0685 or 888-330-5833. FAX orders may be sent at any time. Simply print this form and fax the information to 1-567-429-5693.

Fill in the Form and click Send to transmit or the print button on your browser to print a mailable/faxable form.

     First Name: 
 Middle Initial: 
      Last Name: 
 Street Address: 
        Country: 
           City: 
State (i.e. MN): 
       Zip Code: 
       Phone # : 
 E-Mail Address: 
Credit Card Type (Visa or MC)
    Card Number: 
Expiration Date: 

Only Fill in the Quantities For the Product(s) You Want Tri-Towdster Pac Quantity:  (1 Tri-Towdster, 1 Hose Pincher & 2 Marring Mats) Towdster Pac Quantity:      (2 Towdsters, 1 Hose Pincher & 2 Marring Mats) Tri-Towdster(s):            "V" Towdster(s):            Individual Towdster(s):     Hose Pincher(s):            Marring Mat(s):             Color:                      (Towdster Color Choices)
***ALL SALES ARE FINAL*** NO RETURNS, REFUNDS OR EXCHANGES

If you feel that you do not want to enter credit card information, leave this section blank. Our order department will contact you personally for order verification and credit card information.

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U.S. Patent No. 6,012,407
Farley Companies, Inc.
2074 Stillwater Street
White Bear Lake, MN 55110
(651)261-0685
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