LAZARUS SHOES ORDER FORM
est 1995
1347 SOME STREET 47, CHATHAM-KENT, ONTARIO, CANADA 519-DAT-SOLE
ITEM SIZE COLOUR PRICE TOTAL
MERCHANDISE TOTAL
SHIPPING DOMESTIC
SHIPPING CANADA
FL SALES TAX 6
VOLUME TIER DISCOUNT
GRATUITY
GRAND TOTAL
BILLING ADDRESS SHIPPING ADDRESS
COUNTRY COUNTRY
STREET STREET
HOUSE HOUSE
GREETS ALLERGIES
Our shoes are like gloves for your feet