Retail Store Order Request Form

Store Name

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Where did you hear about our company?

Disc Order Information

* Please list the quantities of each product you would like to order below.

175 Gram Ultimate Discs

Light (White)

Glow

Pearl (Clear)

Sun (Neon Yellow)

Fire (School Bus Yellow)

Citrus (Orange)

Cherry (Red)

Hot Pink

Grape (Purple)

Ocean (Blue)

Sky (Light Blue)

Lime (Light Green)

Night (Black)

Albatross - HP Distance Driver

Merlin - FP Distance Driver

Gray Jay - UP Distance Driver

Sabertooth - HP Overstable Driver

Mammoth - FP Overstable Driver

Buffalo - UP Overstable Driver

Ogopogo - EP Overstable Driver

Sasquatch - HP Distance Driver

Yeti - FP Distance Driver

Bigfoot - UP Distance Driver

Wolverine - HP Fairway Driver

Timberwolf - FP Fairway Driver

Swift Fox - UP Fairway Driver

Grizzly - HP Approach

Moose - FP Approach

Pteranodon - UP Approach

Caribou - GP Approach

Walrus - EP Approach

Bighorn - GP Putter

Owl - HP Putter

Beaver - FP Putter

Polar Bear - XGP Putter

Woodchuck - EP Putter

Hellbender Razorback - HP Putt-Approach

Hellbender Memphre - FP Putt-Approach

Hellbender Salamander - UP Putt-Approach

Hellbender Killer Whale - GP Putt-Approach

Hellbender Beluga - XGP Putt-Approach

Mini Driver

Mini Mid-range

Mini Putter

Mini Ultimate disc

Light (White)

Sky (Light Blue)

Citrus (Orange)

Sun (Neon Yellow)

Neon Pink

Glow in the Dark

Lime

Night

White

Neon Yellow

Orange

Total # of Discs

Additional Comments

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Human verification: 9-4 =?