Contact Information Section:
Your Name: first surname
Street Address:
(address cont.)
City: State/Province:
zip/postal code: Country:
Home Phone: fax:
email:

Fossil Ordering Information:
Quantity    Catalog #                 Description                                                Price Each (USD)
   
   
   
   
   
   
   
   
   
  after we receive your order, we'll contact you with the shipping costs         Total

Ship via: Next-Day Air     3-day Ground     Regular UPS ground    US. Priority Mail
   all shipments are insured

Method of Payment
Personal Check (order will be shipped after a 10-day holding period)
Cashiers/certified check or money order   (Please make all checks payable to Capt. Al Williams)
Paypal  ( Please make payment via Paypal to my email address of:  fossilconnection@yahoo.com )

Shipping Preferences (if different than above):
Ship To:
street address:
(address cont.)
City: State/province:
zip/postal code: Country: