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The Golf Vacationer Shop Order Form

Please fill in below what you are ordering, the product code and a description

(if applicable, please indicate desired size as well)

     
Quantity

 Product Code

 Description of item(s)

and,

and,

**Note:  If your ship-to address is different than your credit card billing address, please 
include your c.c. billing address in the "Comments" box below. Visa, Mastercard and AmEx 
require it for internet order processing. Thank you.

First Name:              
Last Name:              
Address - line 1:       
Address - line 2:       
City:                        
State/Province:         
Zip Code:                  	   
**Note: We do not share your information with anyone. 
Country:                   
Daytime Phone:        
Your E-Mail Address 
 
Credit Card	   Visa	MasterCard	   American Express
 
Card Number            	
Expiration Date         

Any Comments or Questions?:

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