Dr Foot's Fax Orders
Thank you for your order!

Dr Foot's Store, PO Box 13426, Birmingham, West Midlands, B25 9BX, United Kingdom.

Fax your order to 0121 783 8007

International Customers

Dial +44 121 783 8007

click here Print this order form
Ordered by: Ship to (if different than ordered by):
Name: Name:
Address: Addess
City: City
County/ State: County/ State
Post Code (zip) Post Code (zip)
Country: Country
Phone: Phone:
E-Mail: E-Mail
Product Description Size Quantity Price Total Price
 
     
         
         
         
         
         
         
         

 

 

 

 

 

 

Subtotal  

Shipping &Handling

 
Total  
   

Shipping & Handling

U.K Free Postage

Rest of the World £6

Payment Method

Please tick below:

Visa Mastercard Switch Solo

Card Number ________________________________________

Expiry Date ___________ Start Date__________

Last 3 digits on signature strip __________

Issue Number (if applicable) ____________