Order Form

Order Form

Cloud Nine Dance Shoes

Last Revised 09/13/08	dave@cloudnineshoes.com
Return to Home page	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:

Orders 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
				Tax
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:

Credit Card Number:

Billing Street:

Expiration Date:

Billing City:

Signature:

State, & Zip Code:

Code number on back

of credit card:

Billing Phone Number:

Email Address:

Email Your Questions to: info@cloudnineshoes.com

Thank you for your business!