“It’s always a pleasure  to call and reorder my stockings, the girl is always nice to speak to, pulls my last order up fast makes sure every aspect of the address, size and charges are correct. I have your phone number on my frig. I guess I will be a long time customer of yours, thanks again.”
Anna Johnson

Fax/Mail Order Form

Fax / Mail...Order Form

Please use this (Order Form) to order your Compression Therapy Stockings/Garments and Fax / Mail to us.

RescueLegs.com    The Safe, Sure Way to Healthier Feet & Legs!

 

Mail or Fax Completed Form To:               

RescueLegs

PO Box 1012

Asheboro, NC 27204          

Toll Free:1-877-206-5147
FAX #      1-330-294-0492 

                                                                                     

Bill to:

Ship to  (if different):

Name:

Name:

Address:

Address:

City, State, Zip:

City, State, Zip:

Phone:

Phone:

 

 

 

E-mail Address:____________________________________Date:________________________

 

Sku #

Color

Size

Qty.

Item Description

Price 

Each

Total Price

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Shipping Rates & Method  per Order

 

(USA)...First Class Mail--------------------------- Free Shipping

Priority Mail (3-pairs or less)---------------------$6.95    (USPS)

Overnight Arrival (3-pairs or less)---------------$22.95  (USPS)

2nd Day Arrival (3-pairs or less)------------------$16.95  (USPS)

3rd Day Arrival (3-pairs or less)------------------$10.95   (USPS)

Shipping (USA)  FREE

 

Subtotal

 

Sales Tax

(NC residents add 7%)

 

 

Total Due

 

 

 

Payment Method (Check One)

____Check or Money Order (Payable to RescueLegs)    ___Visa   ___Mastercard   ___American Express

Name on Card:

Card Number:                                                        Code:                 Expiration Date:

Signature:

         Note: When paying by check, items will NOT be shipped until check clears bank. 

RescueLegs.com      DBA / The Natural Effect Inc.