Appointment Request Form

Pointe Shoe Appointment Request (Please wait for Store Confirmation of your request)

Hours are Monday-Friday, 11am-6pm, Saturday, 10am-6pm, Sunday, 10am-5pm
Full Name*

First NameLast Name
Phone*

Area CodePhone Number
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
What days' work best for you?*

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What time works best for you?*

11:00am - 12:00pm12:30pm - 2:00pm2:00pm - 3:00pm3:00pm - 4:00pm4:00pm - 5:00pmOther
Any specific date/time?

MonthDayYearHourMinutesAM/PM Option
Is this your first pointe shoe? If not, what are you currently wearing?*
I would like to be notified about promotional services. Please note that we do not rent or sell your information to any third parties!*

YesNo
Should be Empty: