Order Form- Foot Locker

BILLING ADDRESS:

F F o o o o t t l l o o c c k k e e r r . . c c o o m m M M a a i i l l - - i i n n O O r r d d e e r r F F o o r r m m

Please enter name and address of the person

D D o o m m e e s s t t i i c c : : 1 1 . . 8 8 0 0 0 0 . . 9 9 9 9 1 1 . . 6 6 6 6 8 8 1 1

submitting the payment (e.g., credit card holder)

I I n n t t e e r r n n a a t t i i o o n n a a l l : : 1 1 . . 7 7 1 1 5 5 . . 2 2 6 6 1 1 . . 9 9 5 5 8 8 8 8

SHIPPING ADDRESS:

Name: ____________________________________________

F F a a x x O O r r d d e e r r L L i i n n e e : : 1 1 . . 8 8 0 0 0 0 . . 6 6 2 2 8 8 . . 6 6 3 3 0 0 2 2

Please fill out if order needs to be shipped somewhere other than the Billing Address.

Address: __________________________________________

I I n n t t ’ ’ l l F F a a x x O O r r d d e e r r L L i i n n e e : : 1 1 . . 7 7 1 1 5 5 . . 2 2 6 6 1 1 . . 9 9 5 5 5 5 0 0

Name: ___________________________________________

Company: _________________________________________

Address: _________________________________________

h h t t t t p p : : / / / / w w w w w w . . f f o o o o t t l l o o c c k k e e r r . . c c o o m m

City and State:______________________________________

City: _______________

State: __________

ZIP: ________

ZIP Code: _________________________________________

DAYTIME PHONE (

)__________________

EVENING PHONE (

)__________________ (needed to process your order)

e-mail address: ______________ backup for contacting you about your order

COLOR

Page:

Qty:

Product No.:

Desription of item:

Size

First choice*

Second Choice*

Unit Price: Total:

*If you choose a second color choice, it will be shipped in place of

PAYMENT METHOD:

Subtotal

your first choice, only when your first choice is not available.

We reserve the right to hold credit card orders for approval.

We reserve the right to limit quantities. Thank you for your patience.

Shipping & Handling

Credit Card Number

Check or Money Order payable to Foot Locker

(from chart below)

Rush Order Charges

Visa

American Express

Expiration Date Month

Year

Tax

MasterCard

Discover/NOVUS

Total Charges

Authorized signature ________________________________________________

JCB Card

FOR YOUR PROTECTION

PERSONAL CHECK POLICY

Foot Locker reserves the right to hold credit card

DID YOU INCLUDE?

Make all checks payable to Foot Locker. ($500 maximum). Check must be received at Foot Locker within 15 days of date on check.

orders for address verification. Declined credit

Personal checks must be imprinted with name, street address and daytime phone number (no P .O. Box). Checks must be signed by the

Color and size?

card orders will be held for authorization for up to

same name imprinted on the check. If the street address is not imprinted, please hand-print address and daytime phone number in the

5 business days. We cannot guarantee availabili-

Daytime and evening phone number?

upper left corner and initial any alterations. For your protection, all personal checks are subject to complete address and bank verifica-

ty of items on declined orders. If we are unable

tion. Returned checks are subject to a service charge of $20 or the maximum allowed by law. Other costs of collection and all penalties

to obtain an authorization, we will cancel the

Payment or credit card number?

permitted by law also will be assessed. All checks are screened by Certigy.

order.

We apologize, prices are subject to change with-

SALES TAX INFORMATION

out notice. We reserve the right to limit quantities.

The amount of sales tax that will be added to your order is based on the state to which your order is being shipped, the standard sales tax charged in that area and the total dollar

amount of your order. Not all customers will be charged sales tax. The following destinations are not taxable by Foot Locker: Alaska, Connecticut, Delaware, Massachusetts,

T T h h a a n n k k y y o o u u f f o o r r y y o o u u r r o o r r d d e e r r . .

Minnesota, Montana, New Hampshire, New Jersey, Oregon, Pennsylvania, Rhode Island, APO Miami, military address, FPO military, American Somoa, Yukon Territory.

H H a a w w a a i i i i , , A A l l a a s s k k a a , , P P u u e e r r t t o o R R i i c c o o a a n n d d U U . . S S . . V V i i r r g g i i n n I I s s l l a a n n d d s s

For orders shipping outside the United States, all applicable duties must be paid by the customer and will be billed

A A P P O O a a n n d d F F P P O O a a d d d d r r e e s s s s e e s s

by the delivering carrier.

Send via U.S. mail. Please add $9.99 for the first item

Send via US mail only. Sorry, no express delivery. Please add $9.99

and $1.99 for each additional item.

for the first item and $1.99 for each additional item.

In order to perform at your best, your athletic products need to be just right. If, for any reason, you are not com-

Hawaii and Alaska add $11.99 for UPS Express or add

I I n n t t e e r r n n a a t t i i o o n n a a l l o o r r d d e e r r s s a a n n d d C C a a n n a a d d a a

pletely satisfied with your purchase, please return it (in new condition, please).

$24.99 for Next Day Air Delivery

Send via US mail. (U.S. dollars only)

Please see international shipping detail page

Or call for rates: 1.715.848.9588.

W W h h e e n n s s e e n n d d i i n n g g y y o o u u r r o o r r d d e e r r v v i i a a r r e e g g u u l l a a r r m m a a i i l l / / p p o o s s t t a a l l s s e e r r v v i i c c e e

o o r r

W W h h e e n n s s e e n n d d i i n n g g y y o o u u r r o o r r d d e e r r v v i i a a U U P P S S / / F F e e d d E E x x o o r r o o t t h h e e r r e e x x p p r r e e s s s s c c a a r r r r i i e e r r

Order Department

Order Department

PO Box 8066

111 South First Avenue

Wausau WI 54402-8066

Wausau WI 54401

Fax completed Order Form to: 1.800.628.6302

International Fax Order Line: 1.715.261.9550.

Call in orders with Credit Card Payment to: 1.800.991.6681

Customers outside the US call 1.715.261.9588