Order by Toll-Free or Mail

To place an order, just print out and complete the following information, then call toll-free or mail to:
Nassau Investment Casting Company
99 Rusell Place
Freeport, New York 11520
Toll Free #: 1-800-783-7775

Shipping Address:



Company Name _____________________________________________



Name _____________________________________________________



Physical Address _________________________________________



City, State ______________________________________________



Zip/Postal Code, Country _________________________________



Daytime Telephone Number (very important!) ______________________



FAX Number (if you have one) _______________________



Email Address ______________________________________

(very important; please print clearly!)



Account Number _____________________________________



Glove Size _____  Cadet _____  or  Regular _____



S _____   M _____   L _____   XL _____



Grip Size Preference {if known}:



 S _____   STD _____   L _____   JUMBO _____



Right Handed _____   Left Handed _____    Age_____   Height _____



Average #7 Iron Distance _____ Yards   #5 Iron _____ Yards



Driver Distance _____ Yards



Your Current Brand/Model:



Irons _____________________________________________



Woods _____________________________________________   





Shaft: Steel _____   Graphite _____

Order Information:



 Item                                        Unit      Total

 Number    Quantity       Description        Price     Price  

 ____________________________________________________________





 ____________________________________________________________





 ____________________________________________________________





 ____________________________________________________________





 ____________________________________________________________





 ____________________________________________________________





 ____________________________________________________________



                                   Subtotal _____________   	

				

			           Shipping _____________

	

	(NY STATE add applicable tax)	Tax _____________



                            



                                       TOTAL______________



Payment Information:



 __Visa  __MasterCard  __Check enclosed





______________________________________________     __________

Credit Card Number (13-16 digits)                  Exp. Date





______________________________________________

Signature