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Pool Stick |
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www.poolstick.com |
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Our Dun &
Bradstreet |
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1525 Circle
Dr. Lincoln, NE 68506 phone 1.402.438.4398 fax 1.413.832.6721 |
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Ordering Form |
| Purchaser's Information: | Shipping Address: or [ ] check if same |
| Name | Name |
| Company | Company |
| Address | Address |
| City | City |
| State | State |
| Zip | Zip |
| Phone | Phone |
| email address | fax |
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| Quantity | Item # | Cues & Accessories Ordering | Unit Cost | Total Cost |
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Total |
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Free shipping for all orders over $100.00, add $15.00 shipping for orders under $100.00 |
Shipping | |||
| Method of Payment: O Cashiers Check O Money Order O Check O Wire | ||||
| O Visa O MasterCard O Discover O American Express | ||||
| Credit Card
#_____________________________ Expiration
Date______ (CVV2/CID) the 3 Digit # on back of card next to cc #. _______ |
Grand Total |
| Credit Card Billing
Information check if this is an official business cc [ ] Name___________________________ MI____ on credit card Billing Address_______________________________________________ Check if billing address same as, [ ] purchaser's address, or [ ] shipping address. Purchaser's Signature _X___________________________________ Date _________ By signing I authorize Poolstick to charge my credit card for this order. |
All checks other than cashiers and money orders are held for 10 business days. |
| All items are warranted for 1 full year against manufacturer defects. We do all we can to ship orders out as fast as possible, if however it has been over 1 week and you still don't have your order call us and we will take care of it. | |