------------------------------------------------------------------------------------
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: 2/9/2012
www.golfworks.com 
====================================================================================

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
ORDER PRINT OUT  --  The GolfWorks  --  2/9/2012
Item Description:
Quantity:
 
Unit Cost:
 
Line Total:

LP  1lb. Powdered Lead

											
													
3271167 0 0
1
 x 
$9.99
 = 
$9.99

TMR  Exact Measure Tool

											
													
3271219 0 0
1
 x 
$49.99
 = 
$49.99

FEG  Protective Glasses

											
													
3271222 0 0
1
 x 
$4.99
 = 
$4.99

GAA  Loft and Lie Data Recording Pads

											
													
3271252 0 0
1
 x 
$1.99
 = 
$1.99

UVP  Rubber Vise Pads (2)

											
													
3271275 0 0
1
 x 
$12.99
 = 
$12.99

BWP  1 Dz. Shaft Butt Weight Ports

											
													
3271304 0 0
1
 x 
$14.99
 = 
$14.99

MLAT  Magnetic Lie Angle Tool

											
													
3271331 0 0
1
 x 
$12.99
 = 
$12.99

MC30  Epoxy Mixing Cups

											
													
3271333 0 0
1
 x 
$1.99
 = 
$1.99

FPMP  FLITZ PASTE METAL POLISH & PAINT RESTORER

											
													
3271337 0 0
1
 x 
$9.99
 = 
$9.99

HHFI  Handheld Ferrule Installer

											
													
3271338 0 0
1
 x 
$4.99
 = 
$4.99

GCD4  "Golf Club Design, Fitting, Alteration & Repair"

											
													
3271339 0 0
1
 x 
$39.99
 = 
$39.99

G1DP  G1 Design Color Putter Grips 
YEL

3271346 0 0
1
 x 
$1.99
 = 
$1.99

LGLO  Leather Buffing Gloves
YEL

3271354 0 0
1
 x 
$12.99
 = 
$12.99

MQGG  Maltby Design® Quick Grip Measure Gauge
MNS

3271355 0 0
1
 x 
$14.99
 = 
$14.99

MDFP  2 Fitting Form Pads (50 Sheets ea.)
MNS

3271360 0 0
1
 x 
$4.95
 = 
$4.95

GLF2  Golf Club Fitting Plan
MNS

3271412 0 0
1
 x 
$14.99
 = 
$14.99

EMSC  Professional Metal Sided Shaft Clamp
MNS

3271415 0 0
1
 x 
$8.99
 = 
$8.99

FMAC  Black - 600 core (Rnd) 72g Oversize 3/32"
MNS

3271417 0 0
1
 x 
$2.69
 = 
$2.69

SSTR  Self-Stick Ruler
MNS

3271419 0 0
1
 x 
$6.99
 = 
$6.99

SQ27  Plastic Sqeeze Bottle - 8 oz
MNS

3271422 0 0
1
 x 
$0.99
 = 
$0.99

DEP58  Black - 580 core (77g)
MNS

3271434 0 0
1
 x 
$3.99
 = 
$3.99

ARM58  Black - 580 core (Rnd) 72g Oversize 1/16"
MNS

3271440 0 0
1
 x 
$4.69
 = 
$4.69

SAVER  GRIP SAVER
MNS

3271450 0 0
1
 x 
$14.99
 = 
$14.99

1103L  LH - 60 degree Lob Slider
MNS

3271451 0 0
1
 x 
$6.99
 = 
$6.99

WBE60  Maple Wood Shaft Extension
MNS

3271457 0 0
1
 x 
$2.99
 = 
$2.99

SP001  SHARPIE MINI MARKER 4-PACK
MNS

3271469 0 0
1
 x 
$5.99
 = 
$5.99

OD005  Black/White - 580 core (61g)
MNS

3271471 0 0
1
 x 
$8.99
 = 
$8.99

OD009  Black/Red - 590 core (Jumbo) 129g
MNS

3271478 0 0
1
 x 
$19.99
 = 
$19.99

MWHBP  20 pk. Metal Wood Bore Plugs
MNS

3271483 0 0
1
 x 
$4.99
 = 
$4.99

BSCOM  Cut-Off Saw / Belt Sander Package
MNS

3271489 0 0
1
 x 
$99.99
 = 
$99.99

G1RVP  Black/White - 580 core (63g)
MNS

3271494 0 0
1
 x 
$1.99
 = 
$1.99

SP0008  Sharpro Black Wrap .580 Rnd Grip
MNS

3271508 0 0
1
 x 
$1.85
 = 
$1.85

FK0023335A/R2  R2 Flex (A Flex) - 335 tip (55g) 2B1M
MNS

3271518 0 0
1
 x 
$54.99
 = 
$54.99

MA0150  MALTBY TRICEPT MAGNESIUM DRIVER 
95D

3271528 0 0
1
 x 
$129.99
 = 
$129.99

GW1204  Golfworks Assembly Kit
95D

3271530 0 0
1
 x 
$99.99
 = 
$99.99

EE0002  Caddie Wipes
95D

3271539 0 0
1
 x 
$1.99
 = 
$1.99

MA0160  Black - 590 core (Pistol) 60g
95D

3271553 0 0
1
 x 
$1.99
 = 
$1.99

MA0092  MA0092 Maltby Driver Slip-On Headcover
95D

3271557 0 0
1
 x 
$3.99
 = 
$3.99

GW1114  Golf Club Curing/Display Rack
95D

3271558 0 0
1
 x 
$64.99
 = 
$64.99

BB6010  Bag Boy T-10 Hard Top Wheeled Travel Cover
95D

3271576 0 0
1
 x 
$129.99
 = 
$129.99

MA0050  MALTBY KE4 RED 60 GRAPHITE WOOD SHAFTS
L

3271581 0 0
1
 x 
$34.99
 = 
$34.99

DM0045  DISTANCE MASTER GRAPHITE FAIRWAY WOOD SHAFTS
S

3271586 0 0
1
 x 
$9.99
 = 
$9.99

GG0034  20pk - 2 3/4in height
S

3271588 0 0
1
 x 
$1.99
 = 
$1.99

MA0172  Maltby Cart/Staff Bag
S

3271596 0 0
1
 x 
$99.99
 = 
$99.99

MA0096  MALTBY L-TECH GRAPHITE WOOD SHAFTS
LF

3271602 0 0
1
 x 
$12.99
 = 
$12.99

GW1018  Professional Scale
LF

3271619 0 0
1
 x 
$44.99
 = 
$44.99

TT0056  GRAFALLOY PROLAUNCH AXIS RED GRAPHITE WOOD SHAFTS
X

3271623 0 0
1
 x 
$94.99
 = 
$94.99

BB9016  PING .335 WOOD ADAPTOR
X

3271630 0 0
1
 x 
$1.99
 = 
$1.99

GG0082  All-In-One Mat
X

3271643 0 0
1
 x 
$39.99
 = 
$39.99

AT1001  MALTBY CT250 GRAPHITE FAIRWAY WOOD / HYBRID SHAFTS
S

3271645 0 0
1
 x 
$17.99
 = 
$17.99

BB9010  Ping G2 Adaptor - 335 tip (RH only)
S

3271646 0 0
1
 x 
$4.49
 = 
$4.49

GW0036  Epoxy Mixing Spatula
S

3271652 0 0
1
 x 
$3.99
 = 
$3.99

TT0050  GRAFALLOY PROLAUNCH RED .350 GRAPHITE FAIRWAY WOOD SHAFTS
R

3271670 0 0
1
 x 
$44.95
 = 
$44.95

GG0105  Warm Up Weight
R

3271671 0 0
1
 x 
$2.99
 = 
$2.99

GW2005  SWINGWEIGHT KIT - 169 PCS
R

3271674 0 0
1
 x 
$34.99
 = 
$34.99

MA3011  MALTBY HEAVY DUTY LIE ANGLE BOARD
R

3271676 0 0
1
 x 
$44.99
 = 
$44.99

MA0161  Black - 600 core (Jumbo Pistol) 115g
R

3271680 0 0
1
 x 
$2.99
 = 
$2.99

ST0001  SUPER STROKE CLASSIC PUTTER GRIP
GRY

3271682 0 0
1
 x 
$39.99
 = 
$39.99

CG9008  GRIP ONE WEATHER SOFT GOLF GLOVE
RH,XL

3271699 0 0
1
 x 
$3.00
 = 
$3.00

LE9002  .350 Bushing Hosel Ferrules 4 pk.
RH,XL

3271711 0 0
1
 x 
$2.99
 = 
$2.99

BB9020  Nike Sumo .335" Adaptor
RH,XL

3271719 0 0
1
 x 
$0.99
 = 
$0.99

GW1206  Total Shop Set-Up Kit
RH,XL

3271747 0 0
1
 x 
$649.99
 = 
$649.99

PTPO58  Black - 580 core (Rnd) 64g Oversize 3/32"
RH,XL

3271749 0 0
1
 x 
$4.49
 = 
$4.49

PM0002  Tomi Home Analyzer
RH,XL

3271762 0 0
1
 x 
$199.99
 = 
$199.99

BB9013  CALLAWAY .335" LIE / FACE ANGLE ADAPTOR
RH,XL

3271782 0 0
1
 x 
$11.99
 = 
$11.99

GW0043  Glass Shafting Beads 4oz.
RH,XL

3271783 0 0
1
 x 
$4.99
 = 
$4.99

FS0006P  Straight Stepless - 370 tip (125g) 35in
RH,XL

3271788 0 0
1
 x 
$4.99
 = 
$4.99

DFTG210  DFTG210 - Grip Tape 2" x 10" Strips
RH,XL

3271820 0 0
1
 x 
$0.35
 = 
$0.35

PMA0154  MALTBY TRICEPT C2 IRON SET CLUB PAK
A/R

3271826 0 0
1
 x 
$159.99
 = 
$159.99

WN0002R  "Winn Excel AVS RF.580"" Rnd. Grip"
BKPK

3271833 0 0
1
 x 
$5.99
 = 
$5.99

AL0006H  ALDILA GAMER HYBRID GRAPHITE SHAFTS
S

3271842 0 0
1
 x 
$32.99
 = 
$32.99

PCE0024  CER 900 OS IRON SET PAK
A/R

3271873 0 0
1
 x 
$144.99
 = 
$144.99

RA0004W  RAPPORT PRO-JEC R 6535 GRAPHITE WOOD SHAFTS
X

3271886 0 0
1
 x 
$14.99
 = 
$14.99

AL0009W  ALDILA NV PINK GRAPHITE WOOD SHAFTS
55L

3271894 0 0
1
 x 
$44.99
 = 
$44.99

PG30404P  Black - 580 core (58g)
55L

3271901 0 0
1
 x 
$5.99
 = 
$5.99

PG30401P  Black - 580 core (86g)
55L

3271916 0 0
1
 x 
$5.99
 = 
$5.99

PG30402P  Black - 580 core (58g)
55L

3271918 0 0
1
 x 
$5.99
 = 
$5.99

BC4  4 Bar Buffing Compound Set
55L

3271977 0 0
1
 x 
$9.99
 = 
$9.99

VGGR  V-Groove Grip Remover
55L

3271981 0 0
1
 x 
$19.99
 = 
$19.99

PLCG  Maltby Design® Putter Head Loft Gauge
55L

3272005 0 0
1
 x 
$14.99
 = 
$14.99

HGH  Third Hand Heat Gun Holder
55L

3272009 0 0
1
 x 
$49.99
 = 
$49.99

UCMVK  Universal Clubmakers Vise System
55L

3272014 0 0
1
 x 
$259.99
 = 
$259.99

GW1212  Grip Essentials Kit
55L

3272037 0 0
1
 x 
$30.99
 = 
$30.99

G1NTM  Black - 580 (Rnd) 81g Oversize 3/64"
55L

3272039 0 0
1
 x 
$2.49
 = 
$2.49

MDPFS  Maltby Design® Dynamic Putter Fitting System
55L

3272047 0 0
1
 x 
$1,495.00
 = 
$1,495.00

S1003  Impact Bag
55L

3272053 0 0
1
 x 
$29.99
 = 
$29.99

IVS3C  The GolfWorks® Belt Sander
55L

3272061 0 0
1
 x 
$69.99
 = 
$69.99

MA0135  MALTBY NEOPRENE IRON HEADCOVERS
55L

3272111 0 0
1
 x 
$14.99
 = 
$14.99

BB9005  Callaway .335 Wide Collar Wood Ferrule
55L

3272132 0 0
1
 x 
$0.60
 = 
$0.60

GW1205  Golfworks Reshafting Kit
55L

3272162 0 0
1
 x 
$469.99
 = 
$469.99

MA0134  MALTBY MAGNETIC DRIVER HEADCOVER
55L

3272165 0 0
1
 x 
$13.99
 = 
$13.99

NESC  Value Line Golf Club Scale
55L

3272167 0 0
1
 x 
$89.99
 = 
$89.99

VB1003  Max Strength Quick Set Epoxy 50 ml. Cartridge
55L

3272179 0 0
1
 x 
$10.99
 = 
$10.99

GW2004  SMALL PARTS/SHIM KIT - 128 PCS
55L

3272181 0 0
1
 x 
$44.99
 = 
$44.99

TT0039  GRAFALLOY SABER MOI GRAPHITE WOOD SHAFT
R

3272184 0 0
1
 x 
$29.99
 = 
$29.99

LK0051  Black - 580 (Rnd) Standard Cord
580

3272187 0 0
1
 x 
$3.99
 = 
$3.99

GG0117  Trunk Organizer
580

3272190 0 0
1
 x 
$39.99
 = 
$39.99

LK0049  LAMKIN CROSSLINE TOUR GOLF GRIPS
RED

3272196 0 0
1
 x 
$4.19
 = 
$4.19

LK0055  ROYAL GRIP MCT BI-COLOR PUTTER GRIP
YEL

3272203 0 0
1
 x 
$5.99
 = 
$5.99

VSWC  Economy Swingweight Scale
YEL

3272208 0 0
1
 x 
$49.99
 = 
$49.99

VB1009  Extension Adhesive 30 ml. Syringe
YEL

3272215 0 0
1
 x 
$5.99
 = 
$5.99

BB9003  Callaway Iron Ferrule - .370"
YEL

3272217 0 0
1
 x 
$0.60
 = 
$0.60

MA0171  BLK/RED - Maltby Stand Bag
YEL

3272219 0 0
1
 x 
$69.99
 = 
$69.99

GW0025  Broken Graphite Shaft Extractor
YEL

3272235 0 0
1
 x 
$9.99
 = 
$9.99

GRIPKIT  Grip Kit Components (Grips Not Included)
YEL

3272258 0 0
1
 x 
$8.00
 = 
$8.00

MA0117  MALTBY TROUBLE OUT PLUS HYBRIDS
30D

3272259 0 0
1
 x 
$27.99
 = 
$27.99

CA0001B  Black/Silver - 610 core (Rib) 51g Standard
30D

3272265 0 0
1
 x 
$4.99
 = 
$4.99

JB0001  Belen Training Grip
30D

3272275 0 0
1
 x 
$1.99
 = 
$1.99

Item Total
$5,637.41
Standard Shipping
$144.99
Overweight Shipping
$180.00
Total
$5,962.40

Sales tax will apply for shipping to OH.