Click here to return to website: Home
Order Form - Print form and mail or fax with your payment to:
Fays Irish Dance Shoes  P.O. Box 69  Yonkers, NY 10704
Please call 914 779 6417 or 914 662 1220 with any questions.
Fax Numbers: 914 779 6418 or  914 662 1224

Name ______________________ Country ______________________
Address ______________________ Telephone ______________________
City ______________________ Fax ______________________
State/Province ______________________ E-Mail ______________________
Postal Code ______________________ Call for Wholesale or School Pricing!
Quantity Product Description Unit Price Extended Price
________ ___________________________ ________ ________
________ ___________________________ ________ ________
________ ___________________________ ________ ________
________ ___________________________ ________ ________
________ ___________________________ ________ ________
________ ___________________________ ________ ________
________ ___________________________ ________ ________
________ ___________________________ ________ ________
________ ___________________________ ________ ________
Shipping Charges
US add $5.00
Canada add $7.00
____ Mastercard Sub Total  _________
____ Visa Shipping  _________
____ other __________________    _________
____ Cash/Check/Money Order Grand Total  _________

Credit Card Information

Credit Card Number

______-_____-_____-_____

 

Expiration Date

_____/_______  mm/yyyy

 

Name on Card

________________________