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Please fill out this form completely
to aid us in expediting your order!

Please Note: We Do Not Ship To P.O. Boxes!

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First Name
Last Name


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ONLY so we and/or UPS can contact you concerning THIS order.
Daytime Phone Number
Evening Phone Number


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& tracking #'s for items that ship direct from our warehouse
Email Address
Confirm Email Address
If your email address utilizes a junk email or spam filter,
we recommend you look in your junk email folder for your email confirmation.


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(if applicable)
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City
Military addresses: Put FPO or APO in city field
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Zip Code
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(We only ship to USA and Canada)


Please Note:
We Do Not Ship To P.O. Box Numbers.
Please enter a physical address for delivery by UPS or the Postal Service.
To ship to the address above check the box!


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Recipient First Name
Recipient Last Name
Company
(if applicable)
Recipient Phone Number
Address Line 1
Address Line 2
City
Military addresses: Put FPO or APO in city field
State
Province
Zip Code
Country
(We only ship to USA and Canada)


Would you like to receive New Product Announcements/Specials
(ONLY two times per year)?   
Do You Have Special Instructions?
Is this a gift?
Target Date: (Enter a date a few days PRIOR to the required date!)

This is a TARGET DATE only! We will do our best to deliver on time.
Important - Please note the following:
Special Instructions:


Please indicate in the special instructions section below the following:

  1. Ship ASAP - I want this item even if arrives a day or two later than my target date.

  2. Don't deliver during dates traveling (indicate dates in special instructions)

  3. Cancel my order if it cannot be delivered by my target date

  4. If no Special Instructions are entered, or if only a date is entered, WE WILL ship your order to arrive as close to the date as possible!
We will make every effort to meet your target date!
 
Enter special instructions below:

 
 


Click Continue button below to verify order
& enter payment information!

By submitting your order, you agree to our terms and conditions and recognize that Internet Shops Inc will appear on your statement for this purchase. You also affirm that the name and billing information provided on this form are true and correct. D W Quail Golf is an Internet Shops Inc. Company.

Extremely Important:
Your credit card statement will show Internet Shops Inc. as the billing party for this purchase!




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DWQuailGolf.com is an Internet Shops Inc company