PERSONAL DATA

Name
Address

City
Zip Code
Country
E-mail
Telephone 1
Telephone 2
Fax

 
COUNTRY BOOTS
    Campera
top yes no
leather smooth Combined
   
COLORS / TEXTURES

   Color
Principal
Top
   Textura
Principal
Top
SOLE / HEEL

Sole Rubber Leather
Heel Rubber Leather

MEASURES

1. Foot Size (Take measures A, B, C and D)  
2. Heigtht
3. Top
4. Calf
5. Under Calf
6. Ankle
7. higher bond

A.
B.
C.
D.

COMMENTS



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