Shoe Order
We will call you to discuss available styles, your size, and current pricing, before placing the order.
Name
(required)
:
Phone number
(required)
:
Email Address
(required)
:
Mens or Womens
(required)
:
Shoe Size
(required)
:
Want Wide?
(required)
:
By submitting this form you are authorizing paycheck deductions of up to $15.00 per week until the total purchase has been repaid. The remaining amount owed, if any, should employment end, will be deducted from final wages.
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