Guide/Tip Top Order Form

Parts Order Form

Name _______________________________________________________

Return Shipping Address:__________________________________________

City: ________________________State: ____________ Zip: ____________

Telephone: _________________________________

E-Mail: ____________________________________

Rod Series running guides price (each) Quantity

Original Series $3.00 each _____________

Stunner HD Series $2.00 each _____________

Thrift Series $3.00 each _____________

Titan HD Series $3.00 each _____________

Aqua Dream Series $2.00 each _____________

Vursa Series $2.00 each _____________

AquaFin $3.00 each _____________

All Purpose $3.00 each _____________

FX8 $2.00 each _____________

The Swim Jig Rod 7'1" $3.00 each _____________

Matrix Shad Series $3.00 each _____________

Stunner HD Saltwater Series $3.00 each _____________

Tip Tops for all series (each) $5.00ea ___________

Rod Model:________________________________________________________________________

Fill out this form and include it with a check for the total amount plus $5.00 for shipping and mail it to the address below for your order to be processed.

Fitzgerald Fishing

Warranty Department

12160 S HWY 441

Belleview, FL 34420