Email Order Form
Fill out and hit submit button at bottom
Please Enter Email Address For Shipment Confirmation
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Ship To:
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Bill To: (if different)
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name:
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name:
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business name
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business name
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address 1
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address 1
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address 2
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address 2
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city
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city
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zipcode
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State
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State
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zipcode
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telephone
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email address
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Enter Size, Colors, and Amounts Here
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Pricing
No. of pairs $ Each S/H Total
1 $5.95 $2.25 $8.20
2 $5.45 $2.25 $13.15
3 $4.95 $2.45 $17.30
4 $4.95 $2.65 $22.45
5 $4.95 $2.80 $27.55
6 $4.95 $3.00 $32.70
Additional pairs may be purchased at a price
of $4.95 each with no additional price for
shipping and handling.
You may mix and match sizes and colors,
Mastercard, Visa, American Express and
Discover accepted
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Button Color
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Lace Size
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Lace Color
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Quantity
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Enter Total Amount Paid
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Comments:
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