Piccolo Pazzo
| Page 22 |
Shipping Address if
different from above
address.
different from above
address.
Name of
Addressee____________________________________________________________________
__
Shipping
Address______________________________________________________________________
__
City____________________________________________________State___________Zip___
__________
Telephone
No.________________________________________________________________________
Addressee____________________________________________________________________
__
Shipping
Address______________________________________________________________________
__
City____________________________________________________State___________Zip___
__________
Telephone
No.________________________________________________________________________
Shipping Charges
Minimum $35.00: $6.50
$36.00 to $50.00: $8.50
$51.00 to $80.00: $12.50
$81.00 to $110.00: $14.50
$111.00 to $149.00: $16.50
$150.00 to 199.50
$18.50
$36.00 to $50.00: $8.50
$51.00 to $80.00: $12.50
$81.00 to $110.00: $14.50
$111.00 to $149.00: $16.50
$150.00 to 199.50
$18.50
$200.00 to $299.00: $22.50
$300.00 to $399.00: $24.50
$400.00 to $499.00: $28.50
$500.00 to $599.00: $32.50
$600.00 to $699.00: $35.50
$700 plus depends on weight.
$300.00 to $399.00: $24.50
$400.00 to $499.00: $28.50
$500.00 to $599.00: $32.50
$600.00 to $699.00: $35.50
$700 plus depends on weight.
International: Request Quote
Total Amount of Order
US$:_______________________________
Shipping Cost:
______________________________
Total Amount of Order
US$:_______________________________
US$:_______________________________
Shipping Cost:
______________________________
Total Amount of Order
US$:_______________________________
| Avoid Errors - Place Order by: Toll Free Hot Line 1-888-636-3102 Ask for Nick Facsimile: (503) 636-1310 E-mail: sales@pazzogolf.com |
______________________________________________________________________________
___________
___________
Customer
Name______________________________________________________Date______________
_
Pro
Shop____________________________________________Buyer________________________
______
Street Address______________________________________________Apt.
#________Ste.#__________
City_______________________________State/Country____________________Zip________
_________
Telephone No______________________________Telephone
No_________________________________
Fax
No.________________________________E-mail_____________________________________
______
Payment Method: Cash / Check______Visa______Master
Card______Discover______Amex______
Name on
Card_________________________________________________________________________
_
Card
No._________________________________________________Exp______________________
_____
Name______________________________________________________Date______________
_
Pro
Shop____________________________________________Buyer________________________
______
Street Address______________________________________________Apt.
#________Ste.#__________
City_______________________________State/Country____________________Zip________
_________
Telephone No______________________________Telephone
No_________________________________
Fax
No.________________________________E-mail_____________________________________
______
Payment Method: Cash / Check______Visa______Master
Card______Discover______Amex______
Name on
Card_________________________________________________________________________
_
Card
No._________________________________________________Exp______________________
_____
| Consumer Data Order Form |
O Dawn Copy
Pick Up
Date:__________
Return
Date:___________
O Maria Copy
Pick Up
Date:__________
Return
Date:___________
O Pazzo Copy
Ship
Date:_____________
D/D
Date:_____________
Pick Up
Date:__________
Return
Date:___________
O Maria Copy
Pick Up
Date:__________
Return
Date:___________
O Pazzo Copy
Ship
Date:_____________
D/D
Date:_____________