vdg_orderform_team by wanghonghx

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									                                          Vibram Golf Discs
                                        Order Form / Price List
18 School Street
North Brookfield, MA 01535                                                                                               FAX: 508-867-7731
508-867-7731 www.vibramdiscgolf.com                                          Brenda Chamberlin - Quabaug Cust. Svc. Rep, 508-867-7731 x. 139
     New Customer
     YES            NO


                          Bill to:                                     Ship to:        Is this a residential address?
                          Cust. #                                         Cust. #
                          Contact                                         Contact
                         Address1                                         Address1
                         Address2                                         Address2
                            City                                          City
                           State             ZIP                          State                       ZIP
                          Phone                                           Phone
                           email                                          email
                                                                          Cust. UPS Acct #




                               Discs with a tan background are not PDGA legal, due to weight
                     Item Number   159       163     166     169     172      175       178
                                                                                                                      Unit         Total
                                 140-159 160-163 164-166 167-169 170-172 173-175 176-178 Quantity
                                                                                                                      Price        Cost
        Discs                      Qty       Qty     Qty     Qty     Qty       Qty      Qty
Ascent (X-Link)         792010                                                                  0                    $20.00        $0.00
Ascent (XL Firm)        792110                                                                  0                    $20.00        $0.00
Ibex (X-Link)           793010                                                                  0                    $20.00        $0.00
Ibex (XL Firm)          793110                                                                  0                    $20.00        $0.00
Ridge (X-Link)          790510                                                                  0                    $20.00        $0.00
Ridge (XL Firm)         790610                                                                  0                    $20.00        $0.00
Summit (X-Link)         790310                                                                  0                    $20.00        $0.00
Summit (XL Firm)        790410                                                                  0                    $20.00        $0.00
Sole (X-Link)           793010                                                                  0                    $20.00        $0.00
Sole (XL Firm)          793110                                                                  0                    $20.00        $0.00
Trak (X-Link)           792610                                                                  0                    $20.00        $0.00
Trak (XL Firm)          792710                                                                  0                    $20.00        $0.00
VP (X-Link)             790110                                                                  0                    $20.00        $0.00
VP (XL Firm)            790210                                                                  0                    $20.00        $0.00
                                                                              X-Link Total Qty: 0                                  $0.00

                               Discs with a tan background are not PDGA legal, due to weight
                     Item Number   159       163     166     169     172      175       178
                                                                                                                      Unit         Total
                                 140-159 160-163 164-166 167-169 170-172 173-175 176-178 Quantity
                                                                                                                      Price        Cost
   Granite Discs                   Qty       Qty     Qty     Qty     Qty       Qty      Qty
Ascent (X-Link)         792210                                                                  0                    $25.00        $0.00
Ascent (XL Firm)        792310                                                                  0                    $25.00        $0.00
Ridge (X-Link)          791510                                                                  0                    $25.00        $0.00
Ridge (XL Firm)         791610                                                                  0                    $25.00        $0.00
Summit (X-Link)         791310                                                                  0                    $25.00        $0.00
Summit (XL Firm)        791410                                                                  0                    $25.00        $0.00
VP (X-Link)             791110                                                                  0                    $25.00        $0.00
VP (XL Firm)            791210                                                                  0                    $25.00        $0.00
                                                                              X-Link Total Qty: 0                                  $0.00

 Minis & Coasters   Item Number                     Item                              Color         Quantity          Price        Total
                     799910030            Mini Discs (varied colors)                Assorted                          $5.00        $0.00
                     599260000                Vibram Coasters                       Assorted                          $5.00        $0.00
                                                                                    Mini Total Qty:   0                            $0.00

                                                                                                                              3/5/2012
                                        Small     Medium     Large       XL       XXL
      Apparel           Item Number      Qty       Qty        Qty        Qty      Qty           Color         Quantity      Price        Total
A4 Dry Fit Tees            A4 Tees                                                            Assorted          0          $20.00        $0.00
Vibram Hats                                              VDG GI Hats                          Assorted                     $20.00        $0.00
                                                                                           Apparel Total Qty:   0                        $0.00

        Cash           You can also convert your earnings into a check (we'll need a            Color           Quantity   Price         Total
                          W9) at a rate of $4 earned at tourney = $1 cash to you             Cash Wanted                   $4.00         $0.00

                                                                                                         Total Spent                     $0.00
                                                                                                          Earnings
                                                                                                      Leftover Earnings                  $0.00

Order Notes




Payment
If you are not on terms or do not have a credit card on file for your orders, we will call for credit card information.




                                                                                                                                    3/5/2012

								
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