NAME:

ADDRESS 1:
ADDRESS 2:
ADDRESS 3:
COUNTRY:   

TELEPHONE NO. :
EMAIL ADDRESS:

Please enter any additional comments or instructions in the box below:

Credit Card Holder / Billing Address Information:

Check here if same as above.

NAME:

ADDRESS 1:
ADDRESS 2:
ADDRESS 3:
COUNTRY:   

TELEPHONE NO. :
EMAIL ADDRESS:

Credit Card Information:

Visa   Mastercard  American Express

Expiration Date:  JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember  2005200520062007200820092010

Card Number: 

3 Digit Security Code ( last 3 Digits on back of your card):

Signature:  (by typing your name in this box you authorize us to charge your specified card for the total listed above).

The following form may be filled in and faxed to us at your convenience to place an order.  Alternately, if you wish to order instantly online via our guaranteed safe and secure payment processing server, please proceed to the our online ordering page.

Calculate Your Total Order!

FAX ORDERS
Please fill in all fields including your credit card details (card type, number, expiration date, and billing address if different from delivery address).  Then, please sign in the area indicated, print and send via fax to the number listed below.  Please feel free to use the calculator provided to help determine your total.  All taxes are included, and all amounts are in U.S. Funds.

NAME:

ADDRESS 1:
ADDRESS 2:
ADDRESS 3:
COUNTRY:   

TELEPHONE NO. :
EMAIL ADDRESS:

Please enter any additional comments or instructions in the box below:

Credit Card Holder / Billing Address Information:

Check here if same as above.

NAME:

ADDRESS 1:
ADDRESS 2:
ADDRESS 3:
COUNTRY:   

TELEPHONE NO. :
EMAIL ADDRESS:

Credit Card Information:

Visa   Mastercard  American Express

Expiration Date:  JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember  2005200520062007200820092010

Card Number: 

CCV Number (last 3 digits on the back of your card)

Signature: 

Simply print this form, sign your name in the signature box,  and send it by fax toll-free to 1 877 686 2581.

NAME:

ADDRESS 1:
ADDRESS 2:
ADDRESS 3:
COUNTRY:   

TELEPHONE NO. :
EMAIL ADDRESS:

Please enter any additional comments or instructions in the box below:

Credit Card Holder / Billing Address Information:

Check here if same as above.

NAME:

ADDRESS 1:
ADDRESS 2:
ADDRESS 3:
COUNTRY:   

TELEPHONE NO. :
EMAIL ADDRESS:

Credit Card Information:

Visa   Mastercard  American Express

Expiration Date:  JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember  2005200520062007200820092010

Card Number: 

CCV Number (last 3 digits on back of your card)

                          : 

Signature: 

Please print this form, and mail along with your payment for the amount indicated in the "TOTAL COST" box above (cheque or money order, please do not send cash) to the following address:

SHOELIFT.COM
2100 Bloor St.West
Suite 6157
Toronto, Ontario
Canada, M6S 5A5
Attention: Mail Order Department

LEGAL DISCLAIMER

THE LEGAL DISCLAIMER CONTAINER HEREIN FORMS PART OF THE CONTRACTUAL TERMS OF EACH AND EVERY AGREEMENT BETWEEN THIS COMPANY AND ITS CUSTOMERS. FURTHERMORE THIS DISCLAIMER ATTACHES TO ANY/AND ALL AND/OR ASSOCIATIVE WEBSITES CONTROLLED, LEASED AND/OR OPERATED BY THE COMPANY in its promotion and sale of shoelift products.
The materials at this site are provided "as is" without any express or implied warranty of any kind including warranties of merchantability, non-infringement of intellectual property, or fitness for any particular purpose. In no event shall shoelift or its agents or officers be held liable for any damages whatsoever (including but not limited to damages for injury, real or imagined, physical, psychological or other). Any and all "Shoelifts" and "Shoelift.com" merchandise is provided and distributed solely for aesthetic purposes only. Furthermore, shoelift is exempt without limitation for damages arising out of loss of profits, business or personal interruption and/or loss of information. Any claims arising worldwide out of the use of or inability to use "Shoelift.com" products are void even if shoelift trading as "Shoelift.com" has been advised of the possibility of such damages.
SHOELIFT.COM HEREBY WARNS THE CUSTOMER THAT OUR PRODUCTS SHOULD NOT BE USED IN THE FOLLOWING AREAS/OCCUPATIONS AND/OR ACTIVITIES. 1.ANY PHYSICAL WORK RELATED ACTIVITY. 2.WHILE OPERATING ANY MOTORISED VEHICLE VEHICLE OR AIRCRAFT. 3.WHILE UNDER ANY PHYSICAL AND/OR MENTAL IMPAIRMENT NOT LIMITED TO ALCOHOL AND/OR INTOXICANTS. 4.SKING,SNOWBOARDING OR ANY SPORT INVOLVING PHYSICAL RISK. 5.BY ANY HUMAN BEING UNDER 18 YEARS OF AGE.
By ordering "Shoelifts" you agree that this product may only be used for subjective aesthetic personal use, and may not be sold or redistributed or other, without the written express consent of shoelift No license or claim is made to any prosthetic uses or benefits whatsoever.
By purchasing from the "Shoelift.com" website, you agree that in no event will shoelift be liable for any special, consequential, incidental or indirect damages arising out of any "Shoelift.com" products provided to you, whether for breach of contract, negligence or otherwise, and whether or not shoelift. has been advised of the possibility of such damages occurring.
COMPANY HISTORY