ORDER FORM

Continental Import Shoes
7561 Center Avenue #36
Huntington Beach, CA 92647

Telephone: (714) 622-4372
Fax: (714) 622-4630 

Note for callers:
Phone lines are open from: 9AM - 6PM  Pacific Time


e:mail: [email protected]
Fill this form  out clearly & completely to place your order.
Either telephone, email or send it by surface mail.

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Name:
Street Shipping Address: (no PO Boxes)
Country:
City:
State:
Zip:
Province:
Postal Code:
Telephone:
E:Mail:
Fax:
Item Quantity Brand Style Name Catalog Number  Color     Number Color Name. Size Price Each Total
1
2
3
4
5
Line 1 Total of all items listed above:
Line 2 Enter Shipping and Handling from Table : 
Line 3 Applicable Taxes
Line 4  3 Days United States Postal Service Priority Mail charge (by weight)
Plus $5.00 Handling Fee
TOTAL TO SEND FOR THIS ORDER (ADD LINES 1 + 2 + 3+4)
Credit Card  Number Expiry Date
Visa :
MasterCard:
Discover:
Money Order in US Funds
 Signature:
Thank You for your order!  We really appreciate your business !
INDICATE METHOD OF PAYMENT:
VISA - MASTERCARD - DISCOVER - MONEY ORDER
_______________________________________
We accept Visa, MasterCard and Discover directly. Money Orders in US funds also accepted.
All Prices on the website are in US Dollars. All Prices are subject to change without prior notice.
Please check with us for accurate pricing.
Sorry no personal checks or C.O.D. orders accepted
 

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©Continental Import Shoes