Golf Ball Drop Order Form
Packages (100% Tax Deductible)
$ 10.00 Small Bucket = 1 Ball
$ 50.00 Medium Bucket = 6 Balls
$ 100.00 Large Bucket = 13 Balls
Mail Payment to:
Texas Adaptive Aquatics
103 Page Ln
Huffman, TX 77336
Fields marked * are required!
Billing Information
*
Name:
*
Address:
*
City:
*
State:
*
Zip Code:
*
Phone Number:
*
Email:
*
Bucket Size:
Select Bucket Size
Small (1 ball)
Medium (6 balls)
Large (13 balls)
*
QTY:
Payment Type
*
Method of Payment:
Select payment Type
Check/Money Order
Credit Card