Please fill in this order form and send it to the address below, along with a pencil tracing of both feet. Please ensure that you are sitting in a chair, with weight on your feet, as you outline each bare foot on a sheet of paper. Also, include your normal shoe size.
In Canada - prices vary dependent on the taxes where the product is mailed to:
Please ship __________ pair(s) of Powerfirm weightlifting shoes, model: First Choice(subject to availability) ______________ Second Choice _____________
to the following address: Name: ______________________________________________________________________________ Address: ____________________________________________________________________________ City/Town: ___________________________________________________________________________ Country: ____________________________________________________________________________ Postal/Zip Code: ______________________________________________________________________ Telephone No: _______________________________________________________________________ E-mail address: _______________________________________________________________________ Shoe model preference: ________________________________________________________________ Normal shoe size: _____________________________________________________________________ Your weight (opt): _____________________________________________________________________
TO: POWER FIRM 35 SHERBO COVE WINNIPEG, MANITOBA CANADA, R2C 5L8 A certified cheque or money order in the amount of $___________ payable to Power Firm, is enclosed, representing payment in full for ________ pair(s), taxes, shipping and handling included.