Retail Order Form

Retail Order Form
Purchaser's Information
Your Name*

First NameLast Name
Phone Number

Area CodePhone Number
Email*
example@example.com
Shipping Information

Please enter the full shipping address for where we will ship your product.
Company Name:*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Order Details
Order Date

MonthDayYear
Date
How many sleeves would you like to order?*
Will you be hanging the sleeves on a peg board?*

YesNo
Attach Sellers Permit Here:*

Attach File

Cancelof
Do you have any special instructions or questions?
TERMS: Mach One Golf Balls, LLC is an online retailer and wholesaler of the SHOCK'D line of golf balls. As such, we retain the rights of any and all retail activity, and reserve the right to end any relationship with any retail establishment, at any time, if we determine that the retail establishment is not abiding by the rules set forth in this agreement.

- You, the retailer, do not have the right to sell any SHOCK'D product online on your website or through 3rd party websites.
- You, the retailer of the SHOCK'D Golf Balls, are restricted to a minimum retail price of $19.99 per sleeve (3 balls), plus any associated sales taxes applied to the purchase.
- You, the retailer, agree that retail orders are final sale and are not returnable or refundable.
Purchaser's Signature*

Clear
Date Signed*

MonthDayYear
Date
Your invoice will be sent to the email listed in the form above. Included in it will be the appropriate shipping cost based on how many sleeves are being ordered. Should you have any further questions email brett@shockdgolfballs.com
info@shockdgolfballs.com - www.shockdgolfballs.com

511 S Harbor Blvd Suite S La Habra, CA 90631
Should be Empty:

Retail Order Form

Purchaser's Information

Shipping Information

Order Details