Print
this form, complete all fields and fax
to: 517-443-5900,or mail to:
WatchMann.com
P.O. Box 350925
Toledo, OH. 43635
Item
Description
Brand
Model #
Quantity
Price
Name and address as it appears on your credit card statement For security, we can only ship to the billing address of your
credit card, or an authorized alternate address.
Name
Address
City
State
Zip Code
Country
Phone
E-mail
Credit
Card information Credit Card Type
(Visa, Master Card, Discover, Amex)
Credit Card Number
Expiration Date
3 digit Code or 4 digit Amex code
Shipping
Continental
U.S. ground shipping=Free
$7.00 2 day priority delivery check here