UV Golf Order Form

This order form is for Mail and Fax ordering only.
This order form is printable. When you've filled out your information below,
click on the link at the bottom of this page, it will automatically print for you.
Then mail it to the address below or fax it to the number below

UV Golf Inc.
3870 E. Flamingo
ste. A2 #228
Las Vegas NV 89121
Tel- 702-253-1581
Fax- 702-433-5956
Toll Free- 888-991-8700

If you'd like to place a secure order online, click here

Customer Information
* First Name:
* Last Name:
* Address Line 1:
Address Line 2:

* City:

State (if in USA):
* Zip or Country Code:
* Country:

Your Email Address

*Home or Daytime Phone (xxx-xxx-xxxx):

Business Phone (xxx-xxx-xxxx):

Choose your Cart Shade color:

Beige Cart Shade    Grey Cart Shade

Choose your type of cart:

EZGO        Club Car
Yamaha     Western Golf Car

* Quantity:

$205.95 Each
($199.00 plus $6.95 shipping & handling each)


Payment Information

Credit Card Type:

 Visa      MasterCard

Credit Number:
Credit Card EXP: (month/year)
Card Holder Name:
Credit Card Address:

Click here to Print This Order Form