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 $3.00ea _____________

Stunner HD Series $2.00ea _____________

Thrift Series $3.00ea _____________

Titan HD Series $3.00ea _____________

Aqua Dream Series $2.00ea _____________

Vursa Series $2.00ea _____________

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

Rod Model:________________________________________________________________________

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

Fitzgerald Fishing

Warranty Department

12160 S HWY 441

Belleview, FL 34420