International Order Form

We Are Open 24 Hours A Day--7 Days A Week
To Order From Outside The U.S.:
For Customer Service:
To Order:
Call: + 316 + 946 + 3760
MAILTO:
Fax: + 316 + 946 + 3646
E-mail: [email protected]
Call: + 316 + 946 + 3786
F + 316 + 946 + 3646
Fax:
Online: www.sheplers.com
QTY.
ITEM NUMBER
DESCRIPTION
6501 W. KELLOGG
P.O. BOX 12445
WICHITA, KS 67277-7702
PLEASE SPECIFY COLOR & SIZE
PAGE
C OLOR
SIZE OR LENGTH
NO.
NO.
SIZE
MONOGRAM
PRICE OF ITEMS
(Initials and
Thread Color)
EACH
OR HEEL
SLEEVE WAIST INSEAM
TOTAL
www.sheplers.com
SUB-TOTAL :
S
Please check your METHOD OF PAYMENT:
(Final amount may include
“custom” fee)
Money Order In
U.S. Dollars
Charge Card Number:
Expiration Date - Month & Year:
Visa, MC, Discover – 3 digit value from the
back of card or American Express – 4 digit
value from the front of card.
TOTAL AMOUNT ENCLOSED
IN U.S.DOLLARS
Signature
SHIP TO:
(If address is different than "ORDERED BY")
Name
Address
TO FILL OUT THIS FORM, PLEASE PRINT IN ENGLISH
May we have your daytime phone number?
)
If you include your e-mail address,
we will e-mail you the status of your or
City
Address
DAYTIME PHONE (
Name
Place peel-off label from back cover or
print your name & address below.
City
E-MAIL ADDRESS
der.
.