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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: 10/24/2014
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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