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www.uigolf.com

**Please Print out this form.  Fill it out, and fax to us at 847-891-1286

Product Order Form


Company Name: __________________________________________________

Name: ______________________________________________

Phone: ______________________________________________

Email: ______________________________________________

Billing Address:

____________________________________________________

____________________________________________________

____________________________________________________

Shipping Address (if different - No PO Boxes):              

____________________________________________________

____________________________________________________

____________________________________________________

 

Item: _______________________________________________

Quantity: _______________

Logo Name: _________________________________________


Item: _______________________________________________

Quantity: _______________

Logo Name: _________________________________________

Item: _______________________________________________

Quantity: _______________

Logo Name: _________________________________________


FAX OR MAIL TO:                               E-MAIL: jen@pargolf.com

Par Golf Supply, Inc.
c/o Unique Impressions

550 Pratt Ave N

Schaumburg IL 60193

Fax: 847-891-1286

Please Fax Form to us at 847-891-1286 when complete.