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GOLF COURSE ARCHITECTURE
DESIGN, CONSTRUCTION & RESTORATION

     Purchaser’s Name:  _________________________________________________________
     Shipping Address:    _________________________________________________________
     (
NO P.O. Boxes)           _________________________________________________________
                                       _________________________________________________________

     Telephone Number: _________________________________________________________
     Email Address:        _________________________________________________________
     How would you like the inscription to read?  _____________________________________
              _____________________________________________________________________
              _____________________________________________________________________
              _____________________________________________________________________
              _____________________________________________________________________
              _____________________________________________________________________

     Payment Options:
     Major Credit Card    (circle one)           Visa          MasterCard             Discover
     Card Number:     ______________________________Expiration Date__________________
     Security # on back of Card:  ________
     Print Name as it appears on Card:   ______________________________________________
     Signature:   ________________________________________________________________

     Or:  make your check or money order for $90.00 (plus shipping)
     payable to:  C&A Investments, LLC

    
Then mail with this completed form to:    

Hurdzan/Fry
Attention: P.J. Barton
1270 Old Henderson Road
Columbus, Ohio  43220

     **To order the Special Edition leather & gold bound version with Fore Edge Painting,
     please include a check for $1,000.00.
**Please allow 2-3 weeks for delivery UPS Ground, USA only, unless other arrangements are made.

For questions or additional shipping options please call us at:
614-457-9955