|
Fetish Footwear
of Canada
- MLMs Images of
Canada
Mail Ordering Form
Fax: 306.842.3882
THIS FORM IS FOR USE WHEN MAILING or Faxing an order to Fetish Footwear
of Canada who is owned by MLMs Images.
PLEASE PRINT THIS FORM AND FILL IN ALL NECESSARY INFORMATION.
NAME: ________________________________________
ADDRESS: ________________________________________
CITY: ________________________________________
PROVINCE: _________________________________
POSTAL: _________________________________
COUNTRY: ________________________________________
TELEPHONE: ________________________________________
E-MAIL: ________________________________________
You can fax your order and send your payment
IF A MAIL OR FAX ORDER — SIGNATURE: ___________________________
*ARE COLOUR SUBSTITUTIONS OKAY? YES___NO___
ITEM #: DESCRIPTION: QTY:
PRICE: TOTAL:
________|_________________________|__________|__________|_________
________|_________________________|__________|__________|_________
________|_________________________|__________|__________|_________
________|_________________________|__________|__________|_________
________|_________________________|__________|__________|_________
________|_________________________|__________|__________|_________
________|_________________________|__________|__________|_________
________|_________________________|__________|__________|_________
SUBTOTAL: _________
6% GST _________ if
you live in Canada
5% PST _________
Saskatchewan Residents only
Shipping _________ if
mailing without a quote for shipping add $17.00 shipping fee OR EMAIL FOR
A QUOTE ON SHIPPING.
TOTAL: _________
When mailing in an order, please mail to:
All payments are to be payable to Pleaser
Shoes Canada
MLM's Images
P.O. Box 102
Weyburn, Saskatchewan
Canada S4H 2J8
306.842.4105
Go to shipping
policies.
Back to the
home page.
Thank you in advance for your order |