Discontinued OrthoFeet Shoe Order Form
Please make sure to fill in the required fields and submit this form to complete your order. You will receive an email confirmation upon completion. Please print a copy for your records. **NO REFUNDS OR EXCHANGES ON DISCONTINUED SHOES. ALL SALES ARE FINAL**
ORDERING CONTACT INFORMATION
Account Name
*
PAL Account Number
*
Full Name
*
First Name
Last Name
E-mail
*
example@example.com
Contact Number
*
Shoes
*
Categories:
All
All
Men's Shoes
Women's Shoes
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Name: A to Z
Name: Z to A
Price: Low to High
Price: High to Low
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Men's Shoes
641 Pacific Palisades 10.5XW
Black 10.5 Extra Wide
$
50.00
488 Hunter 8.5W
Black 8.5 Wide
$
50.00
561 Cambria 9.5XW
Black 9.5 Extra Wide
$
50.00
427 Baton Rouge 11M
Sand 11 Medium
$
50.00
Women's Shoes
989 Coral 7.5W
Gray 7.5 Wide
$
50.00
989 Coral 9.5W
Gray 9.5 Wide
$
50.00
966 Calypso 9.5M
Gray 9.5 Medium
$
50.00
910 Tahoe 10.5W
White 10.5 Wide
$
50.00
916 Tahoe 7M
Pink 7 Medium
$
50.00
910 Tahoe 11M
White 11 Medium
$
50.00
893 Sanibel 7W
Black 7 Wide
$
50.00
893 Sanibel 9.5W
Black 9.5 Wide
$
50.00
889 Florence 9W
Black 9 Wide
$
50.00
889 Florence 11W
Black 11 Wide
$
50.00
875 Naples 8.5M
Blue 8.5 Medium
$
50.00
816 Solerno 7.5W
Camel 7.5 Wide
$
50.00
811 Volcano 9W
Black 9 Wide
$
50.00
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