Fletcher's Clocks and Watches

Fax Order Form

Fill out this page, print it and fax us your order to (951) 679 5779
or Mail to
Fletcher's Clocks and Watches
27250 Murrieta Rd #338
Sun City, Ca 92586

Name

Phone

FAX

E-mail

Payment by:

Cardholder name

Card number

Exp Date

CVS No.

Street address

Address (cont.)

City

State/Province

Zip/Postal code

Country

Table for Shipping Charges

Priority Mail within the US $100 to $50.00

$7.00

Priority Mail within the US $51.00 to 100.00

$15.00

Priority Mail within the US $101.00 to $200.00

$18.00

Over $200.00

$28.00

To Canada and UK on Request

California Sales Tax
%7.75

Payment by:
Cardholder name
Card number
Exp Date
CVS No.

Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country

Table for Shipping Charges
*Priority Mail within the US $100 to $50.00*	*$7.00*
*Priority Mail within the US $51.00 to 100.00*	*$15.00*
*Priority Mail within the US $101.00 to $200.00*	*$18.00*
Over $200.00	*$28.00*
To Canada and UK on Request
*California Sales Tax*	%7.75

Qty	Description	Price