Chantel Shoes - Order Form

Order Forms

To Order any items from our collection, please print out this form and direct it our email address. By submitting this form, you are giving Chantel shoes permission to charge the items listed below to your specified credit card account. All prices are in US$ and include freight charges.. For retail customers please contact sales at Chantel shoes direct for pricing and freight charges.

Name :

Email :

Delivery Address :

Item (s) to purchase :

Style Name :

Colour :

Size :

Price :

Signature and Date :

Total :

Credit Card Details ( please tick box )

Bank Card

Master Card

Visa

Card Number :

Exp Date :

Any further enquiries please contact sales at : info@chantelshoes.com