Southwest Tow Operators

Texas Driver Certification

Patch Order Form

 

APPLICANTS MUST HAVE PASSED THE TEXAS DRIVER CERTIFICATION TEST TO ORDER PATCH

 

INSTRUCTIONS: 

Fill out application and mail or fax to payment information below.

When and where did you take the Texas Driver Certification Test? :

                                                                                                                         

Date:____________________ LOCATION_________________________

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Name:_______________________________________      Date:_____________                                                                        .                        
                (LAST NAME)       (FIRST NAME)         (MIDDLE INITIAL)                   

 

Permanent mailing address:

 

________________________________________________________________

 (Address)                                     (City)                     (State)               (Zip)                                            

   

 

Phone:___________________   Alternate phone:________________________

 

 

Driver’s license state and number:____________________________________

 

 

Date of Birth:_____/_____/_____               Email address:________________________

                              (day)    (month)   (year)

 

Employer Name:__________________________________ Employer City:______________________                      

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  Check all that apply:

      .....

ITEM
PRICE
QTY
AMOUNT
_____Texas Driver Certification Patch For Uniform:
$ 2.00
 _________
$__________
(There is a Minimum of 10 per Order - No Maximum Limit)      
TOTAL ORDER AMOUNT:
$__________

          

 

 _____Payment enclosed:  checks and money orders accepted. 

Make payable to: “Southwest Tow Operators”

_____Payment by credit card:  Check one:

 

 _____ Mastercard   _____Visa  _____ American Express     Card #:_______________________    

 

Expiration date:_______________                Signature:__________________________________

You will be contacted for the security code of the credit card.                   

Payments made by individuals will be deposited to the Southwest Tow Operators Political Action Committee Account

Southwest Tow Operators Membership

 

If you are employed by a current Southwest Tow Operators (STO) member, you are already a STO member and are qualified for the many discounts offered to STO members. If you would like to become a member of STO, please visit our website at www.swtowop.org for a member application.  Membership is $200 per year.    

 

To mail your order, send to: To fax your order, send to:

Southwest Tow Operators

2695 Villa Creek Dr.

Suite# 240

Dallas, TX 75234

972-247-1605

 

For questions or more information, call 972-247-9454 or 1-866-320-9300.