Print this form and mail to:
YELLOW PAGES OF GOLF
9500 S. Dadeland Blvd., Suite 500
Miami, Florida 33156
Information about your friend (ship to address):
First Name:
Last Name:
Company:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
FAX Number:
Email:
Your (billing) information:
First Name:
Last Name:
Company:
Address:
City:
State/Province:
Zip/Postal Code:
Country:
Phone:
FAX Number:
Email:
Credit Card:
VISA
MasterCard
Number
Exp.Date
Signature _____________________________ Date __________
Items:
Quantity
Title(Description)
Price
S&H
Total
(Listed Prices and S&H apply to North American orders only)