AltShoes-UK Order Form

ORDER FORM

Apologies for any problems with our online checkout system, but for now you can send us your order using this form...

Once we receive your order we will send you a confirmation email with instructions on how to send us your payment via a secure online checkout or in the post. Thanks!

> Products you would like to order:

Please type (or copy and paste from the checkout) the details of the products you would like to order. Please make sure to include the size/colour (if applicable) and quantities of all products.

Product Name	Size	Colour /Style	Quantity

*If you would like to order more than 10 products please fill in another order form and we will send a combined invoice

> Delivery info:

	* = required field
First Name:	*
Last Name:	*
Address - Line 1:	*
Address - Line 2:
Town/City:	*
County/State:	*
Post Code/Zip Code:	*
Country:	*

Email:	*
Telephone (optional):

Payment option:

How did you find our website?
*If other please specify -

Comment on order: (Please add any special delivery instructions here, if required)

Please tell us which internet browser you are using (i.e. Internet Explorer, Mozilla Firefox, Netscape, Opera):	This will help us identify and fix problems with our online shopping basket system

DELIVERY CHARGES will be added to your order as follows:

Within the UK

Europe & International

No. of items	First Class Recorded Delivery
1	£7.00
2	£10.00
3	£13.00
4	£16.00
5	£19.00
6 or more	£22.00

No. of items	EUROPE:	INTERNATIONAL (USA & Rest of World)
1	£10.00	£15.00
2	£17.00	£25.00
3	£25.00	£35.00
4	£32.00	£45.00
5	£40.00	£55.00
6 or more	£50.00	£60.00

*We may offer partial refunds or store credit if your delivery total is significantly less than the amounts quoted here.

> Send Your Order:

To send this order please click the submit button -

We will email you with an invoice including delivery charges as soon as possible (usually immediately)

Thanks!