GOLF ARTIFACTS ORDER FORM   return to previous

palmnibloic@aol.com         phone  661 242 2403   Address  Fred Smith P. O. Box 6771 Pine Mountain Club CA. 93222

This is an explanation of the purpose of the form ...

Enter the items you want to order by item # . You desired payment method by entering the number 8 at the option you want

We will E mail you a confirmation

Please provide the following ordering information:

QTY DESCRIPTION
pay by Pay Pal to palmniblic@aol.com
pay by personal check

BILLING
E Mail Address
Account Name

SHIPPING
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
GOLF ARTIFACTS    ANY QUESTION OR COMMENTS          PLEASE COMMENT HERE   palmniblic@aol.com
Copyright © 2003 [OrganizationName]. All rights reserved.
Revised: 07/14/08