shoesforweddings.com

BRIDAL SHOE DYEING ORDER FORM

Please print this form, and send it complete with the relevant fabric sample(s).
To: Shoes for Weddings.Com
20 Midland Road
Thrapston
Northants
ENGLAND
NN14 4JR

Name:____________________________________________

Address:__________________________________________

___________________________________________

Postcode:_____________

Telephone:___________________

Email:______________________________________

Method of payment

Cheque
Switch
Mastercard	Visa	American Express

Card Number	_ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
Expiry date	_ _ / _ _
Switch only: issue number _ _ _ _ vaild date _ _ /_ _

Signature _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Date _ _ _ _ _ _ _ _ _

A	SHOE/BAG STYLE	SIZE	FABRIC	COLOUR TO BE DYED
B
C
D
E

Total Number of Items Ordered:___________________________
Return date required for dyed shoes/bags:___________________

* PLEASE SECURELY ATTACH SWATCH HERE. 3" X 3" OF FABRIC REQUIRED

* IF MORE THAN ONE SWATCH, MARK A, B, C, D, ETC.

* INDICATE SIDE OF FABRIC TO BE MATCHED

* INDICATE COLOUR PREFERRED FOR TWO-TONE FABRICS

COLOUR MATCH WILL BE INTERPRETED UNDER NATURAL DAYLIGHT CONDITIONS.