Kalli's Shoe Kloset
Printable Order Form
FAX to: 801.729.8182
Bill To:   Ship To:
<   > (Check if same as "Bill To" information)
Name:   Name:
Street Address:   Street Address:
Suite, Floor, Apt:   Suite, Floor, Apt:
City, State Zip:   City, State Zip:
Phone Number:   Phone Number:
Credit Card Number::    
Credit Card Exp. Date:   Card Holder Signature:
Type (circle): Visa / MasterCard / American Express    

Item #

Description

Qty.

Price (each pair)

SubTotal
      $  
      $  
      $  
      $  
      $  
      $  
      $  
      $  

$7.95 per order to USA / $7.95 per pair to Canada
All others countries inquire.

Shipping:

 $
 

Total:

$

KallisShoeKloset.com
FAX to: 801.729.8182
email: info@kallisshoekloset.com