Please print out this form and send to
Redhead Industries
PO Box 225
North Greece NY 14515 Billing Name: _________________________________________
Billing Address: _______________________________________
Phone: _____________________________________________
CC: V MC D Check Money Order (circle one)
# _________________________________________________ Expiration Date: ______________________
3 digit Security #: ____________________
Shipping Address: Style (name) of Shoe _________________ (SKU) _________ Qty (# of pairs) __________
Size: __________________
Price per Pair ___________
Subtotal: ____________________ S&H: ________________________ ($10.00 per pair USA / $20 per pair IRE.CAN/AU/UK/NZ)
Grand Total: ______________ Your Email: ________________________
Additional Order Instructions: Mail Order To:
RedHead Industries
PO Box 225 North Greece NY 14515 |
