Order Form
Walkley Clogs Order form
To place an order with us, fill in the form below, then print out and fax or post it to us.
Style of Clog
1st
Choice
Colour
2nd Choice
Colour

Choice of
sole

Clog
Size
Qty
Price
per
pair
P&P
Total
                 
              GRAND
TOTAL
Please remember all boot and shoe style clogs over a size 6 to 8 postage £10.00, and size 9 and over 14.00
HOME ADDRESS
Name

Address


Telephone

Fax

Email


DELIVERY ADDRESS
(IF DIFFERENT)

   

METHOD OF PAYMENT

We accept Visa, Delta, Connect, Switch .

Card Type


Debit Card number


Expiry Date


Switch Issue No:

3 Digit security No:

Cardholder's Name


Special Instructions or additional information about your order



 
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Walkley Clogs, Unit 10, Mount Pleasant Mills, Midgley Road, Mytholmroyd, Hebden Bridge, West Yorkshire, HX7 5LR. Tel: 01422 885757
© Copyright 2016 Walkley Clogs. Website Design  by Sue Greenwood 2017
Order Form