Fax Form

EOB Fax Order Form--Dr. Putt's EOB Alignment and Putting System

Fax to 803-641-3578

Please send me the EOB Putting System and Device,
including the fully illustrated instruction book, Five Steps to Better Putting,
ISBN 0-934580-90-1

Name: _________________________________________________________

Home Phone: ( ______) _______ - _______________

Business Phone: ( ______) _______ - _______________

Mailing Address: _____________________________________________

_____________________________________________

Type of Charge Card: ___ Discover ___ MasterCard ___ Visa

Card Number: ___________________________________________________________

Expiration Date: _____________________

I understand that $29.99 plus $5.00 shipping and handling for a total of $34.99 will be charged to my account. If shipped to a South Carolina address, I understand that I will be charged sales tax.

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