Order Form

  

Cloud Nine Dance Shoes

  

Last Revised  06/25/08

dave@cloudnineshoes.com

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Phone: 503-539-4701
 
   

Thank you for selecting Cloud Nine Dance Shoes.  Please print this order form,

  

(we recommend that you print it out and then browse the site),

  

fill in the desired spaces and mail it to us at:

  
   

Cloud Nine Dance Shoes

  

551 Jessie Street

  

San Fernando, California 91340

  
 

Style

Color

Size/Width

Heel

Special

Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 
Shipping - within US: 1st pair: $8.50

Sub Total

 
$3.00 for each additional pair (most areas)

Shipping

 

 

 
Sizes available: [ Men: 6 to 15 ] - Women: [ 3 to 12 ]

Total

 

Additional comments or requests: _________________________________
__________________________________________________________

Thank You!

Checks, Money Orders, Or Cashier's Checks
Please make payable to: Cloud Nine Shoes. Checks must be in US Dollars and be encoded at the bottom of the
check. If paying by check please fill out Name, Address, Phone Number, and E-mail address on the form below.
You may also purchase your order by Credit Card: 

Name as on credit card

Billing Street

Billing City, State, & Zip Code

Billing Phone Number

Credit Card Number

Expiration Date

Signature

Code number on back of credit card

Email Address

Email Your Questions to: info@cloudnineshoes.com

  

Thank you for your business!

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