Charlie's Footlocker

Order Form

Charlie's Footlocker
Charles Gilman

CHARLIE'S FOOTLOCKER ORDER/INQUIRY FORM

Please complete the following form and email it so we can confirm the availability of the item(s) you want and also provide you with a total. You can then make payment by check, money order, or credit card through PayPal.

First Name: Last Name:
Street Address:
City, State/Province, Postal Code:
Country:

E-mail address: Phone:
Please include both e-mail and phone information so that we can contact you if we have any questions or to confirm shipping prices for your order.

Payment Method:

Payment information must be provided before we can process your order.
Shipping charges will be added and we will confirm them with you before processing your order.

Choose One: MasterCard VISA

Card Number: Expiration Date:

ITEMS ORDERED:

Qty	Item Description	Unit Price

Inquiries and Special Instructions:

Charlie's Footlocker

CHARLIE'S FOOTLOCKER ORDER/INQUIRY FORM

Payment Method:

ITEMS ORDERED:

Return to Charlie's Footlocker Home Page. Return to Swap Meet Main Gate.

Return to Charlie's Footlocker Home Page.
Return to Swap Meet Main Gate.