Order Form

Please print this form, fill in your information and fax or mail to:

Fingers & Toes
3077--155th Street
Charles City, IA 50616-9010
Phone: 641-228-4592
Fax: 641-228-7654
email: mjc@fiai.net

Purchase two items at regular price and receive the 3rd item of equal or lesser value at Half Price!
Model	Color	Size	Quantity (pairs)	Price Each	Item Total











Purchase two items at regular price and receive the 3rd item of equal or lesser value at Half Price!				Subtotal
				IA Residents 7% Tax
				Shipping & Handling	$5.00
				Total
Ship To:______________________________________________________ Address: _____________________________________________________ City ___________________ State __________ Zip __________ Phone: ________________ Email _________________________ Payment Method (mark) _____Check _____Money Order _____Visa _____Mastercard Credit Card Number___________________________ Exp. Date_____________ Name on Card ______________________________ Card Member Signature _____________________________________________