The Golfer's Source Order Form
813 715 1575 (International & US)

Personal Info:


Your Name:_______________________________________________________

Mail Address:____________________________________________________

			 ____________________________________________________
			 
			 ____________________________________________________
			 
City:______________________ State:_____  ZIP/POSTAL CODE:________

Telephone:_____________________

E-Mail:________________________



Credit Card Info:
Type of Credit Card:   VISA___ 		MASTERCARD___	DISCOVER___

Credit Card Issued To (Name):____________________________________

Credit Card #:___________________________________________________

Credit Card Expiration Date:_____________________________________

Credit Card Billing Address:_____________________________________

							_____________________________________
							
							_____________________________________
							
City:______________________ State:_____  ZIP/POSTAL CODE:________

Please write out the address you want the package shipped to:

				_________________________________________________
				
				_________________________________________________
				
				_________________________________________________
				
				_________________________________________________
				
Telephone Of Ship To Address:____________________________________


Product(s) Info:
Product Code:______ Product:_________________________ Price:_____

Product Code:______ Product:_________________________ Price:_____

Product Code:______ Product:_________________________ Price:_____

Product Code:______ Product:_________________________ Price:_____

Product Code:______ Product:_________________________ Price:_____


								SUB-TOTAL:	_______________
								
	 		Shipping & Handling Amount ($6.00 plus 10%):			_______________
	 
	 			  	   	Shipping Confirmation #:		_______________
	 			  
  		   	Sales Tax (Florida Residents Only - 7%):			_______________
  
  					   TOTAL DELIVERED PRICE:			_______________


Please mail payments and make all payments payable in US Dollars to: 

						SOURCE MARKETING
						4838 Lane Road
						Zephyrhills, FL  33541  USA
						
						
We suggest you phone (813 715-1575) or email us (orders@golferssource.com) 
prior to sending this form to determine actual shipping cost. Otherwise, the $6.00 plus 
10% fee above will apply to U.S. Shipments.  International Shipments must contact us
 for shipping costs or your order may not be accepted.

Once you receive a confirmation number from us, you can use the confirmation number
 with the shipping & handling charge above and feel confident the amounts are correct.
All orders without confirmation numbers for shipping will be subject to actual shipping charge 
adjustments.

Thanks for your order. We appreciate your business and hope you enjoy our products and 
services.

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The Golfer's Source