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SHIPPING WILL BE ADDED (USUALLY UPS GROUND)

MAIL TO:
E Footwear
Attn: John Elison
4221 Edgemont Ave
Brookhaven, PA 19015

PLEASE FAX TO: 484.480.3044

METHOD OF PAYMENT:

Credit Card (Check One) VISA MASTERCARD DISCOVER AMEX (+$9.99 U.S. Shipping) MONEY ORDER (+$7.99 U.S. Shipping)

List Card #: _________________________________________ List Exp. Date:  _________ Month _________ Date  _________  Year *_________________________ Credit Card Signature *(Must Have)

PLEASE NOTE:

ANY STOLEN OR FRAUDULENT CREDIT CARDS WILL BE PROSECUTED. WE CHECK OUT ALL CREDIT CARDS BEFORE MERCHANDISE IS SHIPPED.