Ben Hogan Golf Equipment Company, LLC

685 John B. Sias Memorial Parkway, Ste 515 | Fort Worth, TX 76134 | 1-844-53Hogan | www.BenHoganGolf.com

Collegiate Partner Ben Hogan Order Form Account # College / University

Coach

Player’s Name Date

School Address Ship to Address

Credit Card Type (Choose One)

! VISA ! MC ! AMEX Card Number Expiration Date CVN Number

Loft Shaft & Grip Quantity

Length

Grip Size

Lie

Best form of Contact (email or phone number) ___________________________________________________

All orders can be faxed to 817-615-4824 or emailed to Orders@BenHoganGolf.com.

Additional Comments

______________________________________________________________________________Authorized Account Signature/Coach Printed Name Date