Proficient Billiards
202 South State St. - Ephrata, PA. 17522
(717) 666-3194- sales@proficientbilliards.com

Name:

 Date:

Address:

City:

State or
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Zip:
Email: Phone:
Accepted Methods of Payments -
Money Order, Personal Check, Certified Check, etc.
Master Card or VISA
Print it below  (For security reasons WE WILL NEVER CALL YOU for your credit card #'s)

 

 

 

 

Exp date:        /

3 digit CVV2 # (last 3 numbers in the signature line / back of card)   __________

Options for return shipping: (check one from the list below)
 □ UPS - United Parcel Service (no additional fees added to the actual shipping costs)
□ FedEx - Federal Express (add $4 for driver pickup charge to the actual shipping costs)
□ USPS - US Postal Service (add $10 delivery charge to post office in addition to the actual shipping costs)

Type of cue: Shipping Insurance: $
  ($300 if left blank)
□ $80 Refinish cue w/ 1 shaft QTY____ PRICE $________
□ $25 Finish 6" of each additional shaft (ex. cue with 2 shafts is $105) QTY____ PRICE $________
□ $15 Clean and reseal shaft (removes nicks, dings, and dirt) QTY____ PRICE $________
□ $100 Leather (smooth black, textured black) QTY____ PRICE $________
□ $40 Irish Linen (click here for available colors) specify color______________ QTY____ PRICE $________
□ $45 Finish over the Irish Linen (ex. like most Meucci cues have) QTY____ PRICE $________
□ $25 Clean and repress existing linen or cortland wrap QTY____ PRICE $________
□ $10 - $40 Tips (click here for available tips) specify type________________ QTY____ PRICE $________
□ $30 Ferrules - Ivorine III, Aegis (Ivory $75) QTY____ PRICE $________
□ Other _________________________________________________________ QTY____ PRICE $________
□ Return Shipping charges (contact for quote otherwise it will be billed to CC)
   Type of shipping ________________________________________________		 PRICE $______________

Sending this work order form in with your cue(s) acknowledges your agreement with our terms and conditions stated here.
Additional description of the work to be done if needed (write on back if you need more room)