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Pool Stick |
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www.poolstick.com |
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Our Dun &
Bradstreet
ID # is
10-205-2516 |
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1525 Circle
Dr.
Lincoln, NE 68506
phone 1.402.438.4398
fax 1.413.832.6721 |
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| 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 |
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Method of Payment:
O Cashiers
Check O Money Order O Check O Wire |
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O Visa O MasterCard O Discover
O American Express |
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Credit Card
#_____________________________ Expiration
Date______
(CVV2/CID)
the 3 Digit # on back of card next to cc #. _______ |
Grand Total |
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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. |
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