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Instructions
Print this form, then fill in your address and payment information in the space
provided and fax or mail it to us at:
Golfworks Inc. Order Toll-Free: 1-800-848-8358
PO Box 3008 Monday-Friday 7am-midnight EST, Saturday 7am-9pm EST, Sunday 8am-6pm EST
Newark, OH 43056-3008 Toll Free Fax: 1-800-800-3290
www.golfworks.com Canada Toll Free: 1-800-387-5331
E-mail: golfworks@golfworks.com
PURCHASE ORDER FORM FOR DATE: 5/23/2013
www.golfworks.com
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BILL TO: SHIP TO:
____________________________________ ____________________________________
Name Name
____________________________________ ____________________________________
Street Address Street Address (Do not use a PO Box)
____________________________________ ____________________________________
Street Address (line 2) Street Address (line 2)
____________________________________ ____________________________________
City State ZIP City State ZIP
____________________________________ ____________________________________
Country Phone Ext.
____________________________________ ____________________________________
E-mail E-mail
____________________________________
Fax
PAYMENT:
_____ Check Enclosed: $_________________ (Make Payable to Golfworks, Inc.)
_____ Credit Card: ___VISA ___MasterCard ___Discover
Credit Card Number: |__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|__|
Expiration Date: ____/____ ______________________________________
Exact name as printed on card
_____ Open Account
_____ Purchase Order Enclosed: P.O. No: _______________________________________
Shipping Method (if other than Standard): ___2-Day ___Next Day
THANK YOU FOR ORDERING VIA GOLFWORKS.COM
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