CUSTOMER INFO:

Your Full Name
Address (We ship FedEx To Your Door, No P.O. Boxes Please)
Additional Address (Apartment Number, Suite, Floor, etc.)
City
State
Zip Code
Country
Phone Number
Your E-Mail Address (this will be kept strictly confidential)

CREDIT CARD INFORMATION:
VISA  MasterCard    Check The Applicable Box For Your Type of Credit Card

Credit Card Number
Expiration Date (example: 01/2007)
Full Name As It Appears On Card (if different from above)
Billing Address For Card (if different from above)
City (if different from above)
State (if different from above)
Zip Code (if different from above)
Team Fitzgerald™ Membership Account Number (If Applicable)

 

 

QTY:	ITEM #:	ITEM Description:	Price:

SHIPPING / HANDLING:

Amount Of Your Order:	S & H Cost:
Orders $1.00 To $10.00	$4.95
Orders $10.01 To $25.00	$6.95
Orders $25.01 To $50.00	$8.95
Orders $50.01 To $75.00	$10.95
Orders $75.01 To $100.00	$12.95
Orders $100.01 To $150.00	$14.95
Orders $150.01 To $200.00	$16.95
Orders $200.01 To $300.00	$19.95
Orders $300.01 & UP	$24.95

Normal Shipping Time 'to your door' is 7 to 10 Business Days (excludes Saturday and Sunday), for or all in stock items.  We will contact you in the event of any backordered products, and in the event of any delays.
For Next Day or Second Day Delivery Requests Call  1-517-423-8124 for a quote.

       
        Yes, I authorize TEAM FITZGERALD to charge my credit card for this purchase. 

    Mail To:
    Team Fitzgerald - Order Dept.
    P.O. BOX 126
    Tecumseh, Michigan
    49286