ORDER FORM
PLEASE PRINT AND FILL IN THIS FORM, MAKE CHECKS OR MONEY ORDER PAYABLE TO WB SALES. ALL PRICES ARE IN U.S.$**
AVAILABLE IN SMALL, MEDIUM AND LARGE SIZES. THE INSERTS CAN BE TRIMMED TO FIT EXACTLY IN ANY SHOE FOR CONTINUOUS WALKING WELLNESS.
**PLEASE PRINT AND MAIL WITH CHECK OR MONEY ORDER,PRICES ARE IN U.S.$** SMALL / WOMEN'S. SIZE 5-9 $79.00 [ ] MEDIUM / MEN'S. SIZE 7-12 $79.00 [ ] LARGE / MEN'S SIZE 13-18 $89.00 [ ] please complete your information NAME. STREET. CITY STATE. ZIP. PHONE. MAIL TO WB SALES 97 GUILDWOOD PKWY SUITE 11042 TORONTO, ONTARIO CANADA M1E 5G5 PLEASE ADD $5.00 FOR SHIPPING Other Places to go:
