Order Form
  1. Please fill out the following form with your name, email, address, and phone number.

  2. Proceed to fill out the order form. Make sure you include the item name, item number, quantity and price.

  3. After you are through filling out the form, please total items' prices, add shipping, total the entire page and press the submit button at the bottom of the page.

  4. After E-Mailing your order by clicking the button at the bottom of this page, if you havent submitted your credit card information, you may you may do so by calling (928) 636-2955

  5. Or Mail orders to:

    550 N US Highway 89
    Chino Valley, AZ 86323

Personal Information:

Name:
*Required
E-mail:
*Required
Street Address:
*Required
State:
*Required
Zip: *Required
City:
*Required
Telephone:
*Required


Order:

Item Name
Quantity
Price
Total

Bootie Box
(Box Only)
$86.45

Shoe Cover Refills
(100 Pack)
$14.85
Shoe Cover Refills
(1000 Pack)
$148.51
Grand Total:(Tax is included in price)
Type of Payment:
Check
Money Order Credit Card

Expiration Date

         

 

Shipping Costs:

After your order is received and weighed a shipping & handling
fee will be added to the order total. See chart below.

0-20 lbs
$15.00
21-55 lbs
$32.00
56-100 lbs
$66.00

*Oversized shipments may be more than listed rates.

 

 

 
 

 

 


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Consys, www.consys.com
All Rights Reserved