Please FAX or mail this form to:

H.J. Malone Associates
2220 Bay Road
Redwood City, CA 94063-3003

  FAX: 650-368-0416
Phone: 650-368-3987

PRO SHOP BINDER:   DOMESTIC( )  $8.50      FOREIGN ( ) $35.00

BOWLING CENTER BINDER:   

		  DOMESTIC                            FOREIGN

		  AMF PINSPOTTERS       ( ) $8.50     AMF PINSPOTTERS       ( ) $35.00    
		  BRUNSWICK PINSPOTTERS ( ) $8.50     BRUNSWICK PINSPOTTERS ( ) $35.00


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SPECIAL INSTRUCTIONS: ____________________________________________________________

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PAYMENT METHOD: ___ CHECK/MONEY ORDER    ___CREDIT CARD (MasterCard, VISA, AMEX)

YOUR NAME AS IT APPEARS ON CREDIT CARD: __________________________________________

TYPE OF CARD: ________________  CARD NUMBER: _____________________________________

SIGNATURE: _____________________________  EXPIRATION DATE: _______/_______/_______