Fax/Mail Order Form

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:1-844-629-9642
FAX #      1-877-232-8855  

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)

Shipping (USA)  FREE

    -0-

 

 

TOTAL 

 

RescueLegs.com      DBA / The Natural Effect Inc.         Note: When paying by check, items will NOT be shipped until check clears bank.