PERSONAL DATA

Name
Address

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

 
ENGLISH STYLE

    English Style (without cords)
Zipper yes no
Strip yes no
   
COLORS / TEXTURES

   Color
Principal
Strip
   Texture
Principal
Strip
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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