Robert Fitzsimmons - Book Order Form

Donation in $US

"The Bob Fitzsimmons Charitable Trust"
"The trust requires donations to help fund the purchase of
further Bob Fitzsimmons boxing memorabilia and support the on going costs of
protecting and cataloging the memorabilia it already holds. We would therefore
welcome any small contribution you may be able to offer. Many Thanks.

Customer Information

Your entry must match the name and address on your credit card, or your bank may decline the offer. All information is kept confidential unless you tell us otherwise. Your telephone or fax number helps us contact you for technical and billing questions.

FIRST NAME	LAST NAME
BUSINESS OR ORGANISATION (optional)
STREET ADDRESS
CITY	STATE (optional outside USA)	ZIP/POSTAL (optional outside USA)
COUNTRY (international orders gladly accepted!)
TELEPHONE (optional)	FAX (optional)

Email Address

FULL E-MAIL ADDRESS (one address only, no Web sites)

Payment Information

All of your payment information is kept strictly confidential.

CARD TYPE:
CARD NUMBER:
CARD EXPIRES:	For New Zealand Donations call David at 03 688 1656. NOTE: Your credit card statement will show that your account has been debited by Fitzsimmons Memorabilia and will be in NZ Dollars. For all other payments types please contact me directly. Thank you.

Please be VERY patient after you click "Submit Order". Do not click Stop or Cancel. The order process can sometimes take up to two minutes. If your browser does not confirm or reject your order within two minutes, Check your email account for a receipt of your purchase, BEFORE re-submitting your order: