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Please print out this form to send with the bank receipt(please write legibly):

Your Name: _________________________

Shoes Ordering (shoe name and style number & size):

1. ___________________________________________________________

2. ___________________________________________________________

Your Address Info:

Street Address: ___________________________________________

City: _____________________ State & Zip: _______________

Your Contact Phone number: _____________________

Your Email Address: ____________________________

Shipping Method: ____________

Our Banker:  

*Please Contact our sales person for  account details.

*All Money order payments must be in US Currency.

*Bank receipt is helpful for a quick confirmation of payment.

*Please include a copy of this form printed out with all the information requested.

*Please understand that we cannot be responsible for lost mails so purchase some form of tracking for your money order payment or you will be responsible if it is lost. Please send your payment with priority mail and with delivery confirmation!!

*Do not send cash!!

*We do not hold shoes for money order payments so please make sure you send the payment to us as soon as you can or the shoe of your choice may run out.

Thanks for your interest,

MyShoesDepot.Com
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