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)

 

Company Name:__________________________________ Company 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.                   


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) 247-9302

 

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