Footlevelers Order Confirmation

The orthotics you are purchasing are custom made to the individual specifications of your feet.

First Name: *

Last Name: *

Email Address:

Phone Number:

This order is sent to the orthotic technician to be made once full payment has been received.

You are ordering a custom, personalised product. Once the order has been sent to the orthotic technician the order CANNOT BE CANCELLED OR REFUNDED.

Production delivery and receipt of the orthotics takes approximately 5-8 weeks as they are manufactured and shipped from the USA.

I understand that this order cannot cancelled and cannot be refunded. *

Signature *

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